The Haven Halfway House, LLC
NPI #1003010125 in Saint Joseph, Minnesota
Provider Information
- NPI Number
- 1003010125
- Entity Type
- Organization
- Organization Name
- The Haven Halfway House, LLC
- Primary Specialty
- Substance Abuse Rehabilitation Facility
- Enumeration Date
- Jun 13, 2007
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 32524 MEADOW LN
- City
- Saint Joseph
- State
- Minnesota
- ZIP Code
- 56374-9760
- Phone
- (320) 202-7881
Authorized Official
- Name
- MR. THOMAS RUSSELL AUSTAD, LADC
- Title
- CHIEF EXECUTIVE OFFICER
- Phone
- (320) 293-3418
Specialties & Taxonomy Codes
| Specialty |
|---|
| Substance Abuse Rehabilitation Facility |
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