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THE HAVEN DETOX CENTER LLC NPI 1073995080


NPI Information

NPI: 1073995080
Provider Name: THE HAVEN DETOX CENTER LLC
Classification: Substance Abuse Rehabilitation Facility - 324500000X
Entity Type: Organization
Address:
8649 MARTIN WAY E
LACEY, WA
ZIP 98516
Phone: (360) 515-0422
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THE HAVEN DETOX CENTER LLC is a substance abuse rehabilitation facility in Lacey, WA. The provider is a facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. THE HAVEN DETOX CENTER LLC NPI is 1073995080. The provider is registered as an organization entity type.

The provider's business location address is:

8649 MARTIN WAY E
LACEY, WA
ZIP 98516-812
Phone: (360) 515-0422
Fax: (928) 708-9620

The provider's authorized official is Katie Lager .
The authorized official title is Office Director and has the following contact phone number (360) 515-0422.

The enumeration date for this NPI number is 6/25/2015 and was last updated on 6/25/2015.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1324500000XSubstance Abuse Rehabilitation FacilityRTF.FS.60577277WASHINGTONYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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