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Organization
HAVEN BEHAVIORAL HEALTHCARE
Active
Organization
HAVEN BEHAVIORAL HEALTHCARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KENDALL WILLIAM DATSON LPC (THERAPIST)
(719) 540-2100
Entity
Organization
Contact information
Practice address
1330 QUAIL LAKE LOOP, SUITE 200, COLORADO SPRINGS, CO 80906-4651
(719) 540-2100
Mailing address
1330 QUAIL LAKE LOOP, SUITE 200, COLORADO SPRINGS, CO 80906-4651
(719) 540-2100
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
LPC.0012577
CO
Other
Enumeration date
08/16/2015
Last updated
08/16/2015
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