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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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