Organization
CHRISTIAN HAVEN, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PATRICK OATIS (EXECUTIVE DIRECTOR)
(219) 956-3125
Entity
Organization
Contact information
Practice address
12501 N STATE ROAD 49, WHEATFIELD, IN 46392-8986
(219) 956-3125
Mailing address
12501 N STATE ROAD 49, WHEATFIELD, IN 46392-8986
(219) 956-3125
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
09/06/2011
Last updated
09/06/2011
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