Organization · Type 2 NPI

BLK Haven Corp.

Mental Health Counselor · Chula Vista, CA

NPI number 1942936620 Active

Practice location

1079 Calle Deceo
Chula Vista, CA 91913-3345

Mailing address

718 Kikanai Loop
Honolulu, HI 96818-4434

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

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About NPI 1942936620

BLK Haven Corp.'s National Provider Identifier is 1942936620, issued on Jul 26, 2022. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Chula Vista, CA. The record was last updated on Jul 26, 2022.