| The Haven In Woodbury | |
|
2101 Wooddale Dr Ste B Woodbury MN 55125-4442 | |
| (651) 734-9633 | |
| (651) 734-9533 |
| Full Name | The Haven In Woodbury |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 2101 Wooddale Dr Ste B, Woodbury, Minnesota |
| Authorized Official Name and Position | Tedd Herman (CEO) |
| Authorized Official Contact | 6128954605 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Haven In Woodbury 2101 Wooddale Dr Ste B Woodbury MN 55125-4442 Ph: (651) 734-9633 | The Haven In Woodbury 2101 Wooddale Dr Ste B Woodbury MN 55125-4442 Ph: (651) 734-9633 |
| NPI Number | 1124736491 |
|---|---|
| Provider Enumeration Date | 11/07/2022 |
| Last Update Date | 08/02/2024 |
| Certification Date | 07/06/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124736491 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Primary |
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