Organization
COMPASSIONATE HAVEN LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN KIBE NP (OWNER)
(469) 300-1120
Entity
Organization
Contact information
Practice address
116 E PIERCE ST STE 500, MANGUM, OK 73554-4206
(469) 300-1120
Mailing address
800 OPAL PATH, PRINCETON, TX 75407-2265
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
12/31/2024
Last updated
12/31/2024
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