| NPI | 1790110187 |
|---|---|
| Former Legal Business Name | HEALING HAVEN, PLLC |
| Entity Type | Organization |
| Authorized Contact | JAMIE ERIN MCGILLIVARY Owner 734-355-2833 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD1600X Clinic/Center, Developmental Disabilities (Licence: MI 6301011704) |
| Additional Taxonomies | 225XP0200X Occupational Therapist, Pediatrics |
| 235Z00000X Speech-Language Pathologist, | |
| Enumeration Date | 2013-09-05 |
| Last Update Date | 2018-03-17 |