NPI | 1477616068 |
---|---|
Doing Business As | THE HAVEN IN CLOQUET |
Entity Type | Organization |
Authorized Contact | ROBERT HAVEN President 651-734-9633 |
Organization Subpart ? | No |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MN 1027938-2-CDT) |
Enumeration Date | 2006-12-18 |
Last Update Date | 2020-08-22 |