Organization
HAVEN COMMUNITY HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JONATHAN DAVID BAKER RN (ADMINISTRATOR)
(706) 761-0886
Entity
Organization
Contact information
Practice address
7397 PRAIRIE VALLEY CT, MIDLAND, GA 31820-4457
(706) 761-0886
Mailing address
7397 PRAIRIE VALLEY CT, MIDLAND, GA 31820-4457
(706) 761-0886
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
02/11/2021
Last updated
02/11/2021
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