Organization
ASM HAVEN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AYNAHSHA SAMONE SMITH MATON (OWNER)
(313) 502-8402
Entity
Organization
Contact information
Practice address
2127 VAN ANTWERP ST, GROSSE POINTE WOODS, MI 48236-1624
(313) 502-8402
Mailing address
2127 VAN ANTWERP ST, GROSSE POINTE WOODS, MI 48236-1624
(313) 502-8402
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
01/05/2026
Last updated
01/05/2026
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