NPI | 1467978874 |
---|---|
Former Legal Business Name | HAVEN COUNSELING |
Entity Type | Organization |
Authorized Contact | BETHANY HANNAH HOUSTON Owner 270-871-8136 |
Organization Subpart ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NC A13247) |
Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health |
Enumeration Date | 2017-08-17 |
Last Update Date | 2023-02-24 |