| NPI | 1750099230 |
|---|---|
| Doing Business As | THE HAVEN IN WACONIA |
| 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 |