Organization
HEALING HAVEN, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMIE E MCGILLIVARY (CEO)
(248) 965-3916
Entity
Organization
Contact information
Practice address
30821 BARRINGTON ST, MADISON HTS, MI 48071-1871
(248) 965-3916
(248) 331-9919
Mailing address
30821 BARRINGTON ST, MADISON HTS, MI 48071-1871
(248) 965-3916
(248) 331-9919
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
261QR0400X
Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
12/31/2020
Last updated
12/31/2020
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