| NPI | 1407403983 |
|---|---|
| Doing Business As | HAVEN RECOVERY LLC |
| Entity Type | Organization |
| Authorized Contact | IVY MICHELLE O'BRIEN Owner 801-400-7176 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2019-08-20 |
| Last Update Date | 2019-08-20 |