NPI | 1134837610 |
---|---|
Doing Business As | THE HAVEN IN SHAKOPEE |
Entity Type | Organization |
Authorized Contact | TEDD HERMAN CEO 612-895-4605 |
Organization Subpart ? | No |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
Enumeration Date | 2022-11-14 |
Last Update Date | 2025-02-13 |