Haven House Community Support Center LLC

NPI #1043473606 in Phillips, Wisconsin

Provider Information

NPI Number
1043473606
Entity Type
Organization
Organization Name
Haven House Community Support Center LLC
Primary Specialty
Community/Behavioral Health
Enumeration Date
Jul 3, 2008
Last Updated
Feb 14, 2012

Practice Location

Address
548 N LAKE AVE
ZIP Code
54555-1028
Phone
(715) 339-6453

Authorized Official

Name
MRS. PAMELA OLSON
Title
OWNER
Phone
(715) 339-6453

Specialties & Taxonomy Codes

Specialty
Community/Behavioral Health

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