Organization
HAVEN CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARTHA AMOS (OWNER)
(970) 985-4066
Entity
Organization
Contact information
Practice address
1150 N 25TH ST STE D, GRAND JUNCTION, CO 81501-6561
(970) 985-4066
Mailing address
1150 N 25TH ST STE D, GRAND JUNCTION, CO 81501-6561
Taxonomy
Speciality
Code
Description
License number
State
207QA0401X
Addiction Medicine (Family Medicine) Physician
Primary
—
—
Other
Enumeration date
05/29/2020
Last updated
06/12/2020
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