HAVEN ONE-EIGHTY LLC NPI 1689356776

NPI Information

  • NPI: 1689356776
  • Provider Name: HAVEN ONE-EIGHTY LLC
  • Classification: Clinic/Center - 261QR0405X
  • Specialization: Rehabilitation, Substance Use Disorder
  • Entity Type: Organization
  • Address: 15213 N 143RD AVENUE
    8738 W CHOLLA
    PEORIA, AZ
    ZIP 85345
  • Phone: (602) 358-9175

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NPI Details

HAVEN ONE-EIGHTY LLC is a rehabilitation and substance use disorder clinic center in Peoria, AZ. HAVEN ONE-EIGHTY LLC NPI is 1689356776. The provider is registered as an organization entity type.

The provider's business location address is:

15213 N 143RD AVENUE
8738 W CHOLLA
PEORIA, AZ
ZIP 85345
Phone: (602) 358-9175

The provider's authorized official is Analiza De Pedro .
The authorized official title is Member and has the following contact phone number (602) 358-9175.

The enumeration date for this NPI number is 8/7/2023 and was last updated on 8/7/2023.

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
1261QR0405XClinic/CenterRehabilitation, Substance Use DisorderYes

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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