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HAVEN CHEMICAL HEALTH SYSTEMS LLC NPI 1104082114


NPI Information

NPI: 1104082114
Provider Name: HAVEN CHEMICAL HEALTH SYSTEMS, LLC

Doing Business As: PAUL'S PLACE

Classification: Substance Abuse Rehabilitation Facility - 324500000X
Entity Type: Organization

CLIA Number: 24D2067630

Address:
22355 ALBATROSS CIR
FARMINGTON, MN
ZIP 55024
Phone: (651) 463-2608
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HAVEN CHEMICAL HEALTH SYSTEMS, LLC is a substance abuse rehabilitation facility in Farmington, MN. 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. HAVEN CHEMICAL HEALTH SYSTEMS, LLC NPI is 1104082114. The provider is registered as an organization entity type.
The provider Is Doing Business As Paul's Place.

The provider's business location address is:

22355 ALBATROSS CIR
FARMINGTON, MN
ZIP 55024-537
Phone: (651) 463-2608

The provider's authorized official is Robert L Haven .
The authorized official title is President and has the following contact phone number (651) 734-9633.

The CLIA number assigned to this NPI record is 24D2067630 - other - chemical dep treatment with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/30/2008 and was last updated on 7/30/2008.


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 FacilityMINNESOTAYes

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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