NPI | 1699242891 |
---|---|
Doing Business As | SAFE HARBOR CLINIC LLC |
Entity Type | Organization |
Authorized Contact | DUSTIN MARMALICH Owner 228-424-4425 |
Organization Subpart ? | No |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
261QM1300X Clinic/Center, Multi-Specialty | |
Enumeration Date | 2018-10-26 |
Last Update Date | 2018-10-26 |