| Organization Name: | HAVEN HILLS THERAPEUTIC RIDING CENTER, INC. |
| NPI Number: | 1194169037 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | HEILI S RANDALL (CERTIFIED REHABILITATION COUNSELOR) |
| Mailing Address: | 7580 Rivertown Rd Fairburn |
| State: | GA US |
| Postal Code: | 302132403 |
| Phone Number: | 6782969693 |
| Fax Number: | |
| NPI Enumeration Date: | 04/22/2013 |
| NPI Last Update Date: | 04/22/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QR0400X |
| License Number: | 00116431 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | GA |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Rehabilitation |
| Taxonomy Definition: | |