| Haven Behavioral Healthcare | |
|
1330 Quail Lake Loop Suite 200 Colorado Springs CO 80906-4651 | |
| (719) 540-2100 | |
| Not Available |
| Full Name | Haven Behavioral Healthcare |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 1330 Quail Lake Loop, Colorado Springs, Colorado |
| Authorized Official Name and Position | Kendall William Datson (THERAPIST) |
| Authorized Official Contact | 7195402100 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Haven Behavioral Healthcare 1330 Quail Lake Loop Suite 200 Colorado Springs CO 80906-4651 Ph: (719) 540-2100 | Haven Behavioral Healthcare 1330 Quail Lake Loop Suite 200 Colorado Springs CO 80906-4651 Ph: (719) 540-2100 |
| NPI Number | 1871969691 |
|---|---|
| Provider Enumeration Date | 08/16/2015 |
| Last Update Date | 08/16/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871969691 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | LPC.0012577 (Colorado) | Primary |
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