| Haven Center, Inc | |
|
38460 Lincoln Trl Suite 106 North Branch MN 55056-5834 | |
| (651) 277-4283 | |
| (651) 277-4284 |
| Full Name | Haven Center, Inc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 38460 Lincoln Trl, North Branch, Minnesota |
| Authorized Official Name and Position | Valerie N Koski (ADMINISTRATOR) |
| Authorized Official Contact | 6512774283 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Haven Center, Inc 38460 Lincoln Trl P.o. Box 723 North Branch MN 55056-5834 Ph: (651) 277-4283 | Haven Center, Inc 38460 Lincoln Trl Suite 106 North Branch MN 55056-5834 Ph: (651) 277-4283 |
| NPI Number | 1801051461 |
|---|---|
| Provider Enumeration Date | 07/23/2008 |
| Last Update Date | 08/16/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801051461 | NPI | - | NPPES |
| 1053621722 | Medicaid | MN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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