| NPI | 1962013847 |
|---|---|
| Doing Business As | THE HAVEN |
| Entity Type | Organization |
| Authorized Contact | COLIN KELLY FAULKNER Executive Director 651-558-9522 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA0600X Clinic/Center, Adult Day Care |
| Enumeration Date | 2020-08-13 |
| Last Update Date | 2020-08-13 |