| NPI | 1619338217 |
|---|---|
| Doing Business As | HAVEN PSYCHOLOGY |
| Entity Type | Organization |
| Authorized Contact | JAMES ALLEN ESTES Owner 309-738-3981 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: IL 180.006407) |
| Enumeration Date | 2016-03-10 |
| Last Update Date | 2016-03-10 |