| NPI | 1699252577 |
|---|---|
| Doing Business As | HAVEN |
| Entity Type | Organization |
| Authorized Contact | DAVE GUTHRIE Director 907-272-4411 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: AK 118712) |
| Additional Taxonomies | 2084P0802X Psychiatry & Neurology, Addiction Psychiatry (Licence: AK 118712) |
| 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: AK 118712) | |
| 261QM1300X Clinic/Center, Multi-Specialty | |
| 363AM0700X Physician Assistant, Medical | |
| Enumeration Date | 2018-07-24 |
| Last Update Date | 2018-07-24 |