Organization
BEHAVEN WELLNESS RESOURCES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
OLUMAYOWA OJEMUYIWA (WHAM, CPS, PP)
(770) 576-5604
Entity
Organization
Contact information
Practice address
1532 HAVEN CREST DR, POWDER SPRINGS, GA 30127-4966
(770) 576-5604
Mailing address
1532 HAVEN CREST DR, POWDER SPRINGS, GA 30127-4966
(770) 576-5604
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
—
Other
Enumeration date
01/13/2017
Last updated
01/13/2017
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