Organization
BETHEL HAVEN, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DIANE BRANTLEY (EXECUTIVE DIRECTOR)
(706) 310-9046
Entity
Organization
Contact information
Practice address
1030 VILLAGE DR STE B, WATKINSVILLE, GA 30677-6004
(706) 310-9046
(706) 310-9076
Mailing address
1030 VILLAGE DR STE B, WATKINSVILLE, GA 30677-6004
(706) 310-9046
(706) 310-9076
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
09/25/2009
Last updated
10/10/2014
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