| Haven New England: Mh | |
|
1369 Grafton St Worcester MA 01604-2737 | |
| (561) 635-2400 | |
| Not Available |
| Full Name | Haven New England: Mh |
|---|---|
| Speciality | Community Based Residential Treatment Facility, Mental Illness |
| Location | 1369 Grafton St, Worcester, Massachusetts |
| Authorized Official Name and Position | Kirill Vesselov (PRESIDENT) |
| Authorized Official Contact | 5616352400 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Haven New England: Mh 2925 10th Ave N Palm Springs FL 33461-3000 Ph: () - | Haven New England: Mh 1369 Grafton St Worcester MA 01604-2737 Ph: (561) 635-2400 |
| NPI Number | 1376325720 |
|---|---|
| Provider Enumeration Date | 10/19/2023 |
| Last Update Date | 10/19/2023 |
| Certification Date | 10/19/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376325720 | NPI | - | NPPES |
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