Haven Detox Ma Operating Subsidiary, LLC
Community Based Residential Treatment Facility, Mental Illness in Worcester, Massachusetts
1235088667- Practice location
- 1369 Grafton St, Worcester, MA 01604-2737
- Phone
- 508-522-3180
- Fax
- —
- Last updated
- October 26, 2026
Haven Detox Ma Operating Subsidiary, LLC is a healthcare organization based in Worcester, MA. Haven Detox Ma Operating Subsidiary, LLC practices in Worcester, MA. The NPI Number for Haven Detox Ma Operating Subsidiary, LLC is 1235088667. The current practice location address for Haven Detox Ma Operating Subsidiary, LLC is 1369 Grafton St, Worcester, MA 01604-2737 and can be reached out via phone at 508-522-3180.
Provider Profile Details
- NPI Number
- 1235088667
- Provider Name
- Haven Detox Ma Operating Subsidiary, LLC
- Provider Entity Type
- Organization
- Address
- 1369 Grafton St, Worcester, MA 01604-2737
- Phone Number
- 508-522-3180
- Primary Taxonomy
- Community Based Residential Treatment Facility, Mental Illness · 320800000X
- Organization Subpart
- No
- Authorized Official
- Tara Gurney · Authorized Official · 561-517-3400
- Other Names
- The Haven Detox Massachusetts Mental Health And Addiction Rehab (Doing Business As)
- Provider Enumeration Date
- January 27, 2026
- Last Update Date
- October 26, 2026
- Certification Date
- October 26, 2026
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 1369 Grafton St
Worcester, MA 01604-2737 - City
- Worcester
- State
- Massachusetts
- Zip
- 01604-2737
- Phone Number
- 508-522-3180
Provider Business Mailing Address Details
- Address
- 2925 10TH Ave N
Palm Springs, FL 33461-3000 - City
- Palm Springs
- State
- FL
- Zip
- 33461-3000
License Information
- Taxonomy (1)
- Clinic/Center, Adult Mental Health · 261QM0850X
- Taxonomy (2)
- Community Based Residential Treatment Facility, Mental Illness · 320800000X · Primary
- Taxonomy (3)
- Substance Abuse Rehabilitation Facility · 324500000X
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Community Based Residential Treatment Facility, Mental Illness providers near Worcester, MA
View all Community Based Residential Treatment Facility, Mental Illness providers in Worcester →- Community HealthlinkCommunity Based Residential Treatment Facility, Mental Illness · NPI 1477919470
- Department Of Mental HealthCommunity Based Residential Treatment Facility, Mental Illness · NPI 1588782700
- Haven Detox MaCommunity Based Residential Treatment Facility, Mental Illness · NPI 1770159105
- Haven New England: MhCommunity Based Residential Treatment Facility, Mental Illness · NPI 1376325720
- Taylor WhittredgeCommunity Based Residential Treatment Facility, Mental Illness · NPI 1346824653
Frequently Asked Questions
What is the NPI number of Haven Detox Ma Operating Subsidiary, LLC?
The NPI number of Haven Detox Ma Operating Subsidiary, LLC is 1235088667. It was assigned on January 27, 2026 and is currently active in the NPPES registry.
What is the specialty of Haven Detox Ma Operating Subsidiary, LLC?
Haven Detox Ma Operating Subsidiary, LLC is registered under the primary taxonomy Community Based Residential Treatment Facility, Mental Illness (code 320800000X).
Where does Haven Detox Ma Operating Subsidiary, LLC practice?
The practice location is 1369 Grafton St, Worcester, MA 01604-2737. The office can be reached at 508-522-3180 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1235088667 directly on the NPPES registry website.