Pediatric Haven Autism Center

LBN: Pediatric Haven
Pediatric Haven Autism Center is an health care organization with primary practice located at 102 Lexington Dr , Madison MS 39110-6952. The organization recently has 9 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Behavioral Analyst, Ambulatory Health Care Facilities / Developmental Disabilities, Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center), Ambulatory Health Care Facilities / Adolescent and Children Mental Health, Ambulatory Health Care Facilities / Medically Fragile Infants and Children Day Care, Nursing & Custodial Care Facilities / Nursing Care, Pediatric, Respite Care Facility / Respite Care, Mental Illness, Child, Respite Care Facility / Respite Care, Mental Retardation and/or Developmental Disabilities, Respite Care Facility / Respite Care, Physical Disabilities, Child. Ambulatory Health Care Facilities / Adolescent and Children Mental Health is the primary health care specialty. Pediatric Haven can be contacted via phone (601) 499-6696, or through Brown, Jetuwan M. via phone (601) 622-2997.

Contact Information

Primary practice address
102 Lexington Dr Madison MS 39110-6952
Fax: (601) 499-6696
Website:
Authorized official contact:
Name: Brown, Jetuwan M. Registered Nurse (RN)

Profile Details

NPI number 1043858053
LBN Legal business name Pediatric Haven
DBA Doing business as Pediatric Haven Autism Center
Authorized official Brown, Jetuwan M. Registered Nurse (RN)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 20th, 2019
Last updated Jan 4th, 2024 - about 11 months ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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