NPI | 1720638836 |
---|---|
Doing Business As | THE HAVEN AT COLLEGE |
Entity Type | Organization |
Authorized Contact | ELLIOTT LIEBHARD CFO 917-374-4215 |
Organization Subpart ? | No |
Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
Additional Taxonomies | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
261QM0850X Clinic/Center, Adult Mental Health | |
Enumeration Date | 2019-09-19 |
Last Update Date | 2025-09-18 |