Bliss Haven, Inc.
NPI #1609435072 in Johnston City, Illinois
Provider Information
- NPI Number
- 1609435072
- Entity Type
- Organization
- Organization Name
- Bliss Haven, Inc.
- Primary Specialty
- Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
- Enumeration Date
- Jun 10, 2019
- Last Updated
- Jun 10, 2019
Practice Location
- Address
- 1304 DURHAM ST
- City
- Johnston City
- State
- Illinois
- ZIP Code
- 62951-2043
- Phone
- (618) 952-0277
Authorized Official
- Name
- MELISSA BITTLE
- Title
- OWNER
- Phone
- (618) 927-5300
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
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