NPI | 1689356776 |
---|---|
Doing Business As | HAVEN ONE-EIGHTY |
Entity Type | Organization |
Authorized Contact | ANALIZA DE PEDRO Member 602-358-9175 |
Organization Subpart ? | No |
Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
Enumeration Date | 2023-08-07 |
Last Update Date | 2023-08-07 |