| The Haven In Woodbury | |
|
2042 Wooddale Dr Suite #220 Woodbury MN 55125-2981 | |
| (651) 734-9633 | |
| (651) 734-9533 |
| Full Name | The Haven In Woodbury |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 2042 Wooddale Dr, Woodbury, Minnesota |
| Authorized Official Name and Position | Robert Haven (PRESIDENT) |
| Authorized Official Contact | 6517349633 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Haven In Woodbury 2042 Wooddale Dr Suite #220 Woodbury MN 55125-2981 Ph: (651) 734-9633 | The Haven In Woodbury 2042 Wooddale Dr Suite #220 Woodbury MN 55125-2981 Ph: (651) 734-9633 |
| NPI Number | 1225191893 |
|---|---|
| Provider Enumeration Date | 12/18/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225191893 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 1005392-2-CDT (Minnesota) | Primary |
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