NPI | 1447847355 |
---|---|
Doing Business As | HAVEN MEDICINE |
Entity Type | Organization |
Authorized Contact | BETH ANN DUNLAP Medical Director 312-725-2485 |
Organization Subpart ? | No |
Primary Taxonomy | 207QA0401X Family Medicine, Addiction Medicine |
Enumeration Date | 2020-12-26 |
Last Update Date | 2021-01-03 |