Organization
HAVEN CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CATHY COLLIER (CEO)
(404) 841-8099
Entity
Organization
Contact information
Practice address
11670 KADES TRL, HAMPTON, GA 30228-4012
(404) 841-8099
(404) 521-5045
Mailing address
11670 KADES TRL, HAMPTON, GA 30228-4012
(404) 841-8099
(404) 521-5045
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
031012968
GA
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
031012968
GA
Other
Enumeration date
11/08/2010
Last updated
11/08/2010
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