Organization Name: | HAVEN HEART'S COMMUNITY DEVELOPMENT CENTER, INC. |
NPI Number: | 1043425416 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | SONJA YVETTE HOPKINS (EXECUTIVE DIRECTOR) |
Mailing Address: | 5604 Wendy Bagwell Parkway Suite 211 Hiram |
State: | GA US |
Postal Code: | 301417814 |
Phone Number: | 7704852202 |
Fax Number: | 7705750456 |
NPI Enumeration Date: | 05/11/2007 |
NPI Last Update Date: | 05/08/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |