Organization
HAVEN AUTISM
Active
Other names
Haven Autism Services
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRYON EVANS MD (OWNER)
(770) 312-9435
Entity
Organization
Contact information
Practice address
125 CLAIREMONT AVE STE 205, DECATUR, GA 30030-2558
(678) 210-7070
(404) 745-0106
Mailing address
125 CLAIREMONT AVE STE 205, DECATUR, GA 30030-2558
(678) 210-7070
(404) 745-0106
Taxonomy
Speciality
Code
Description
License number
State
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
01/22/2024
Last updated
01/22/2024
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