Haven Detox Of New Jersey LLC
Substance Abuse Rehabilitation Facility in Blackwood, New Jersey
1255113569- Practice location
- 6 Collier Dr, Blackwood, NJ 08012-2983
- Phone
- 561-635-2400
- Fax
- —
- Last updated
- January 15, 2025
Haven Detox Of New Jersey LLC is a healthcare organization based in Blackwood, NJ. Haven Detox Of New Jersey LLC practices in Blackwood, NJ. The NPI Number for Haven Detox Of New Jersey LLC is 1255113569. The current practice location address for Haven Detox Of New Jersey LLC is 6 Collier Dr, Blackwood, NJ 08012-2983 and can be reached out via phone at 561-635-2400.
Provider Profile Details
- NPI Number
- 1255113569
- Provider Name
- Haven Detox Of New Jersey LLC
- Provider Entity Type
- Organization
- Address
- 6 Collier Dr, Blackwood, NJ 08012-2983
- Phone Number
- 561-635-2400
- Primary Taxonomy
- Substance Abuse Rehabilitation Facility · 324500000X
- Organization Subpart
- No
- Authorized Official
- Kirill Vesselov · President · 561-396-5849
- Provider Enumeration Date
- October 20, 2023
- Last Update Date
- January 15, 2025
- Certification Date
- January 15, 2025
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 6 Collier Dr
Blackwood, NJ 08012-2983 - City
- Blackwood
- State
- New Jersey
- Zip
- 08012-2983
- Phone Number
- 561-635-2400
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
- Substance Abuse Rehabilitation Facility · 324500000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Haven Detox Of New Jersey LLC?
The NPI number of Haven Detox Of New Jersey LLC is 1255113569. It was assigned on October 20, 2023 and is currently active in the NPPES registry.
What is the specialty of Haven Detox Of New Jersey LLC?
Haven Detox Of New Jersey LLC is registered under the primary taxonomy Substance Abuse Rehabilitation Facility (code 324500000X).
Where does Haven Detox Of New Jersey LLC practice?
The practice location is 6 Collier Dr, Blackwood, NJ 08012-2983. The office can be reached at 561-635-2400 (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 1255113569 directly on the NPPES registry website.