| NPI | 1073676672 |
|---|---|
| Doing Business As | THE HAVEN IN SHAKOPEE |
| Entity Type | Organization |
| Authorized Contact | JENNIFER L FRZER-JOHN Administrator 651-734-9633 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: MN 1009085-2-CDT) |
| Enumeration Date | 2006-12-18 |
| Last Update Date | 2020-02-07 |