# HAVEN CENTER, INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1801051461
- **Authorized official:** VALERIE N KOSKI LICSW (ADMINISTRATOR)
- **Authorized official phone:** (651) 277-4283

## Contact information

- **Practice address:** 38460 LINCOLN TRL, SUITE 106, NORTH BRANCH, MN 55056-5834
- **Practice address phone:** (651) 277-4283
- **Practice address fax:** (651) 277-4284
- **Mailing address:** 38460 LINCOLN TRL, P.O. BOX 723, NORTH BRANCH, MN 55056-5834
- **Mailing address phone:** (651) 277-4283
- **Mailing address fax:** (651) 277-4284

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | — | NULL | Yes |
| 101YM0800X | Mental Health Counselor | — | — | Yes |

## Other

- **Enumeration date:** 07/23/2008
- **Last updated:** 08/16/2016