| NPI | 1295898872 |
|---|---|
| Doing Business As | THE HAVEN IN WACONIA |
| Entity Type | Organization |
| Authorized Contact | REBECCA HAVEN Contract Manager 651-734-9633 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MN 1015009-2-CDT) |
| Enumeration Date | 2006-12-18 |
| Last Update Date | 2013-08-12 |