| NPI | 1821690363 |
|---|---|
| Doing Business As | HAVEN HEALTH & WELLNESS |
| Entity Type | Organization |
| Authorized Contact | LANA FERRIS Physician 360-450-5778 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2020-11-10 |
| Last Update Date | 2020-11-10 |