Organization
SISTER CODE HAVEN INDUSTRIES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTEN LYNNETTE GREEN (OWNER)
(470) 629-2868
Entity
Organization
Contact information
Practice address
75 WASHINGTON ST UNIT 122, FAIRBURN, GA 30213-3601
(281) 901-4717
Mailing address
75 WASHINGTON ST UNIT 122, FAIRBURN, GA 30213-3601
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
Other
Enumeration date
05/25/2026
Last updated
05/25/2026
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