Organization
HAVEN CARE LLC
Active
Parent organization
HAVEN CARE LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
HAVEN CARE LLC
Authorized official
SHERRY ANN GOODDINE (OWNER)
(404) 218-5735
Entity
Organization
Contact information
Practice address
11669 KADES TRL, HAMPTON, GA 30228-4010
(404) 218-5735
(770) 703-1532
Mailing address
11669 KADES TRL, HAMPTON, GA 30228-4010
(404) 218-5735
(770) 703-1532
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
PCH006808
GA
Other
Enumeration date
06/04/2013
Last updated
06/04/2013
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