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Organization
HAVEN DETOX LR OPERATING SUBSIDIARY, LLC
Active
Organization
HAVEN DETOX LR OPERATING SUBSIDIARY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TARA GURNEY (AUTHORIZED OFFICIAL)
(561) 517-3400
Entity
Organization
Contact information
Practice address
5201 STAGECOACH RD, LITTLE ROCK, AR 72204-8515
(501) 406-0903
Mailing address
2925 10TH AVE N, PALM SPRINGS, FL 33461-3000
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
—
NULL
323P00000X
Psychiatric Residential Treatment Facility
Primary
—
NULL
324500000X
Substance Abuse Rehabilitation Facility
—
NULL
Other
Enumeration date
01/27/2026
Last updated
05/28/2026
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