| The Haven In Shakopee | |
|
235 1st Ave E Shakopee MN 55379-1440 | |
| (952) 496-3366 | |
| Not Available |
| Full Name | The Haven In Shakopee |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 235 1st Ave E, Shakopee, Minnesota |
| Authorized Official Name and Position | Tedd Herman (CEO) |
| Authorized Official Contact | 6128954605 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Haven In Shakopee 2101 Wooddale Dr Ste B Woodbury MN 55125-4442 Ph: (651) 734-9633 | The Haven In Shakopee 235 1st Ave E Shakopee MN 55379-1440 Ph: (952) 496-3366 |
| NPI Number | 1134837610 |
|---|---|
| Provider Enumeration Date | 11/14/2022 |
| Last Update Date | 08/02/2024 |
| Certification Date | 08/02/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134837610 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Primary |
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