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Haven Detox Ma
Substance Abuse Rehabilitation Facility in Worcester, Massachusetts
NPI 1770159105

Haven Detox Ma is a Substance Abuse Rehabilitation Facility based in Worcester, MA. Haven Detox Ma practices in Worcester, MA. The NPI Number for Haven Detox Ma is 1770159105 and holds a License No. (Massachusetts).

The current practice location address for Haven Detox Ma is 1369 Grafton St, Worcester, MA and can be reached out via phone at 508-552-3180.

Location: 1369 Grafton St, Worcester, MA, 01604-2737
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1770159105
Provider Name
Haven Detox Ma
Credential
Provider Entity Type
Organization
Address
1369 Grafton St, Worcester, MA, 01604-2737
Phone Number
508-552-3180
Fax Number
Provider Enumeration Date
05/27/2021
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
1369 Grafton St
City
Worcester
State
Massachusetts
Zip
01604-2737
Phone Number
508-552-3180
Fax Number
person
Provider Business Mailing Address Details
Address
1369 Grafton St
City
Worcester
State
Massachusetts
Zip
01604-2737
Phone Number
508-552-3180
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adult Mental Health
Taxonomy
261QM0850X
License No.
()
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
person
Provider's Taxonomy Details 2
Type
Residential Treatment Facilities
Classification
Community Based Residential Treatment Facility, Mental Illness
Speciality
-
Taxonomy
320800000X
License No.
()
Definition
A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.
person
Provider's Taxonomy Details 3
Type
Residential Treatment Facilities
Classification
Substance Abuse Rehabilitation Facility
Speciality
-
Taxonomy
324500000X
License No.
()
Definition
A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.
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