NPI | 1568042513 |
---|---|
Doing Business As | HAVENLIGHT HEALTH |
Entity Type | Organization |
Authorized Contact | BENJAMIN REESER Medical Director 623-396-5623 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Enumeration Date | 2021-04-13 |
Last Update Date | 2023-04-26 |