Haven Detox Ma Operating Subsidiary, LLC
NPI #1235088667 in Worcester, Massachusetts
Provider Information
- NPI Number
- 1235088667
- Entity Type
- Organization
- Organization Name
- Haven Detox Ma Operating Subsidiary, LLC
- Primary Specialty
- Community Based Residential Treatment Facility, Mental Illness
- Enumeration Date
- Jan 27, 2026
- Last Updated
- Jan 27, 2026
Practice Location
- Address
- 1369 GRAFTON ST
- City
- Worcester
- State
- Massachusetts
- ZIP Code
- 01604-2737
- Phone
- (305) 361-9115
Authorized Official
- Name
- DANIEL MOORE
- Title
- AUTHORIZED OFFICIAL
- Phone
- (305) 361-9115
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Adult Mental Health — Adult Mental Health |
| Substance Abuse Rehabilitation Facility |
| Community Based Residential Treatment Facility, Mental Illness |
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