NPI 1447697131

Haven Care LLC

Organisation Mental Illness Community Based Residential Treatment Facility Hampton, GA

Practice location

Address: 11669 Kades Trl, Hampton, GA 30228-4010
Phone: (404) 218-5735
Fax: (770) 703-1532

Authorised official

Name: Sherry Ann Gooddine
Title: Owner
Phone: (404) 218-5735

Registered specialties

Mental Illness Community Based Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320800000X Licence PCH006808 (GA)

Other Community Based Residential Treatment Facility, Mental Illness providers in Georgia →

Registry record

NPI: 1447697131
Entity type: Organization
NPI issued: 4 Jun 2013
Record last updated: 4 Jun 2013

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.