High Desert Haven

NPI #1245385863 in Apple Valley, California

Provider Information

NPI Number
1245385863
Entity Type
Organization
Organization Name
High Desert Haven
Primary Specialty
Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Enumeration Date
Jan 24, 2007
Last Updated
Aug 22, 2020

Practice Location

Address
15448 MONDAMON RD
ZIP Code
92307-4557
Phone
(760) 240-9896

Authorized Official

Name
MR. TRACEY ALLEN GRAHAM
Title
FACILITY MANAGER
Phone
(760) 240-9896

Specialties & Taxonomy Codes

Specialty
Residential Treatment Facility, Intellectual and/or Developmental Disabilities

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