Haven Detox Ma
Community Based Residential Treatment Facility, Mental Illness in Worcester, Massachusetts
1770159105- Practice location
- 1369 Grafton St, Worcester, MA 01604-2737
- Phone
- 508-552-3180
- Fax
- —
- Last updated
- November 28, 2023
Haven Detox Ma is a healthcare organization based in Worcester, MA. Haven Detox Ma practices in Worcester, MA. The NPI Number for Haven Detox Ma is 1770159105. The current practice location address for Haven Detox Ma is 1369 Grafton St, Worcester, MA 01604-2737 and can be reached out via phone at 508-552-3180.
Provider Profile Details
- NPI Number
- 1770159105
- Provider Name
- Haven Detox Ma
- Provider Entity Type
- Organization
- Address
- 1369 Grafton St, Worcester, MA 01604-2737
- Phone Number
- 508-552-3180
- Primary Taxonomy
- Community Based Residential Treatment Facility, Mental Illness · 320800000X
- Organization Subpart
- No
- Authorized Official
- John Maroney · Manager · 508-552-3180
- Other Names
- The Haven New England (Doing Business As)
- Provider Enumeration Date
- May 27, 2021
- Last Update Date
- November 28, 2023
- Certification Date
- November 28, 2023
- 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
- 508-552-3180
Provider Business Mailing Address Details
- Address
- 1369 Grafton St
Worcester, MA 01604-2737 - City
- Worcester
- State
- MA
- Zip
- 01604-2737
License Information
- Taxonomy (1)
- Clinic/Center, Adult Mental Health · 261QM0850X
- Taxonomy (2)
- Substance Abuse Rehabilitation Facility · 324500000X
- Taxonomy (3)
- Community Based Residential Treatment Facility, Mental Illness · 320800000X · Primary
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 Ma Operating Subsidiary, LLCCommunity Based Residential Treatment Facility, Mental Illness · NPI 1235088667
- 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?
The NPI number of Haven Detox Ma is 1770159105. It was assigned on May 27, 2021 and is currently active in the NPPES registry.
What is the specialty of Haven Detox Ma?
Haven Detox Ma is registered under the primary taxonomy Community Based Residential Treatment Facility, Mental Illness (code 320800000X).
Where does Haven Detox Ma practice?
The practice location is 1369 Grafton St, Worcester, MA 01604-2737. The office can be reached at 508-552-3180 (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 1770159105 directly on the NPPES registry website.