Organization
DEHAVEN HEALTHCARE, INC.
Active
Organization
DEHAVEN HEALTHCARE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT W. DEHAVEN LPC, NCC, DAPA (PRESIDENT & CEO)
(888) 782-1138
Entity
Organization
Contact information
Practice address
121 RAY RD, HAZLEHURST, GA 31539-5119
(888) 782-1138
(912) 525-3183
Mailing address
131 RAY RD, HAZLEHURST, GA 31539-5119
(888) 782-1138
(912) 525-3183
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
11/02/2007
Last updated
03/20/2008
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