NPI | 1871087080 |
---|---|
Doing Business As | GUARDIAN HAVEN |
Entity Type | Organization |
Authorized Contact | NAKISHA LAVELL VARLACK Owner 813-400-2117 |
Organization Subpart ? | No |
Primary Taxonomy | 251C00000X Day Training, Developmentally Disabled Services |
Additional Taxonomies | 251S00000X |
261QD1600X Clinic/Center, Developmental Disabilities | |
261QH0700X Clinic/Center, Hearing and Speech | |
261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
261QP2000X Clinic/Center, Physical Therapy | |
261QX0100X Clinic/Center, Occupational Medicine | |
Enumeration Date | 2018-06-20 |
Last Update Date | 2025-03-05 |