# HAVEN AUTISM

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Haven Autism Services
- **Organization subpart:** No

## Provider details

- **NPI number:** 1588425078
- **Authorized official:** DR. BRYON EVANS MD (OWNER)
- **Authorized official phone:** (770) 312-9435

## Contact information

- **Practice address:** 125 CLAIREMONT AVE STE 205, DECATUR, GA 30030-2558
- **Practice address phone:** (678) 210-7070
- **Practice address fax:** (404) 745-0106
- **Mailing address:** 125 CLAIREMONT AVE STE 205, DECATUR, GA 30030-2558
- **Mailing address phone:** (678) 210-7070
- **Mailing address fax:** (404) 745-0106

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM0855X | Adolescent and Children Mental Health Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 01/22/2024
- **Last updated:** 01/22/2024