Blk Haven Corp.
Counselor, Mental Health in Chula Vista, CA. Organization (NPI-2).
NPI number1942936620
StatusActive
Last updated in NPPESJul 26, 2022
Details
- NPI
- 1942936620
- Entity type
- Organization (NPI-2)
- Legal business name
- Blk Haven Corp.
- Organization subpart
- No
- Enumeration date
- Jul 26, 2022
- Certification date
- Jul 26, 2022
- Last updated
- Jul 26, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | – | – | Yes |
Other names
- Blk Haven (Doing Business As)
Practice location
1079 Calle DeceoChula Vista, CA 91913-3345
Phone 763-245-0390
Mailing address
718 Kikanai LoopHonolulu, HI 96818-4434
Phone 763-245-0390
Authorized official
Ashlee S Wilson
Ceo/ Co-Founder
7632450390
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