Haven House Treatment Center Corp

NPI #1588921845 in Beaverton, Oregon

Provider Information

NPI Number: 1588921845
Entity Type: Organization
Organization Name: Haven House Treatment Center Corp
Primary Specialty: Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Enumeration Date: Apr 11, 2012
Last Updated: Apr 11, 2012

Practice Location

Address: 13565 SW SINGLETREE DR
City: Beaverton
State: Oregon
ZIP Code: 97008-7517
Phone: (503) 521-0405

Authorized Official

Name: MS. JULIETA B SICAT
Title: EXECUTIVE DIRECTOR
Phone: (503) 267-8012

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Residential Treatment Facility, Intellectual and/or Developmental Disabilities	320600000X	Primary

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