| Haven Corp. | |
|
125 N Parkside Dr Ste 108 Colorado Springs CO 80909-6026 | |
| (719) 448-0865 | |
| Not Available |
| Full Name | Haven Corp. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 125 N Parkside Dr Ste 108, Colorado Springs, Colorado |
| Authorized Official Name and Position | Carlos Villafan (VICE PRESIDENT OF OPERATIONS) |
| Authorized Official Contact | 7195904124 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Haven Corp. 1155 Kelly Johnson Blvd Ste 111 Colorado Springs CO 80920-3957 Ph: (719) 590-4124 | Haven Corp. 125 N Parkside Dr Ste 108 Colorado Springs CO 80909-6026 Ph: (719) 448-0865 |
| NPI Number | 1306008883 |
|---|---|
| Provider Enumeration Date | 06/26/2008 |
| Last Update Date | 06/26/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306008883 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 2007153889 (Colorado) | Primary |
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