HAVEN DETOX NPI 1457762809

NPI Information

NPI: 1457762809
Provider Name: HAVEN DETOX
Classification: Psychiatric Hospital - 283Q00000X
Entity Type: Organization
CLIA Number: 10D2078642
Address: 1325 N HAVERHILL RD
WEST PALM BEACH, FL
ZIP 33417
Phone: (561) 635-2400

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NPI Details

HAVEN DETOX is a psychiatric hospital in West Palm Beach, FL. The provider is an organization including a physical plant and personnel that provides multidisciplinary diagnostic and treatment mental health services to patients requiring the safety, security, and shelter of the inpatient or partial hospitalization settings. HAVEN DETOX NPI is 1457762809. The provider is registered as an organization entity type.

The provider's business location address is:

1325 N HAVERHILL RD
WEST PALM BEACH, FL
ZIP 33417-914
Phone: (561) 635-2400

The provider's authorized official is Kirill Vesselov .
The authorized official title is President/ceo and has the following contact phone number (561) 635-2400.

The CLIA number assigned to this NPI record is 10D2078642 - other - substance abuse treatment with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/19/2014 and was last updated on 2/28/2025.

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	License Number	License State	Primary
1	273R00000X	Psychiatric Unit			No
2	283Q00000X	Psychiatric Hospital			Yes
3	320800000X	Community Based Residential Treatment Facility, Mental Illness			No
4	323P00000X	Psychiatric Residential Treatment Facility			No
5	324500000X	Substance Abuse Rehabilitation Facility	1550AD274001	FLORIDA	No

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: 11/21/2025

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