Haven Support Services LLC

NPI #1730938606 in Fulshear, Texas

Provider Information

NPI Number: 1730938606
Entity Type: Organization
Organization Name: Haven Support Services LLC
Primary Specialty: Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Enumeration Date: May 14, 2024
Last Updated: May 14, 2024

Practice Location

Address: 28910 SANDY BEND CT
City: Fulshear
State: Texas
ZIP Code: 77441-2414
Phone: (346) 762-8115

Authorized Official

Name: HENRY OGUCHE
Title: C.E.O.
Phone: (346) 762-8115

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities	320900000X	Primary

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