| Bethel Haven Inc. | |
|
1030 Village Dr Ste B Watkinsville GA 30677-6004 | |
| (706) 310-9076 | |
| Not Available |
| Full Name | Bethel Haven Inc. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1030 Village Dr Ste B, Watkinsville, Georgia |
| Authorized Official Name and Position | Diane Brantley (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 7063109046 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bethel Haven Inc. 1030 Village Dr Ste B Watkinsville GA 30677-6004 Ph: (706) 310-9076 | Bethel Haven Inc. 1030 Village Dr Ste B Watkinsville GA 30677-6004 Ph: (706) 310-9076 |
| NPI Number | 1215392535 |
|---|---|
| Provider Enumeration Date | 12/31/2015 |
| Last Update Date | 12/31/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215392535 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | APC005174 (Georgia) | Primary |
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