| The Haven | |
|
21441 Boca Rio Rd Boca Raton FL 33433-2604 | |
| (561) 483-0962 | |
| (561) 487-8007 |
| Full Name | The Haven |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 21441 Boca Rio Rd, Boca Raton, Florida |
| Authorized Official Name and Position | Don Stewart (CEO) |
| Authorized Official Contact | 5614830962 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Haven 21441 Boca Rio Rd Boca Raton FL 33433-2604 Ph: (561) 483-0962 | The Haven 21441 Boca Rio Rd Boca Raton FL 33433-2604 Ph: (561) 483-0962 |
| NPI Number | 1861750663 |
|---|---|
| Provider Enumeration Date | 04/30/2012 |
| Last Update Date | 04/30/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861750663 | NPI | - | NPPES |
| 763932500 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | SW 3398 (Florida) | Primary |
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