# HAVEN DETOX LR OPERATING SUBSIDIARY, LLC

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

## Provider details

- **NPI number:** 1902755341
- **Authorized official:** TARA GURNEY (AUTHORIZED OFFICIAL)
- **Authorized official phone:** (561) 517-3400

## Contact information

- **Practice address:** 5201 STAGECOACH RD, LITTLE ROCK, AR 72204-8515
- **Practice address phone:** (501) 406-0903
- **Mailing address:** 2925 10TH AVE N, PALM SPRINGS, FL 33461-3000

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 320800000X | Mental Illness Community Based Residential Treatment Facility | — | NULL | — |
| 323P00000X | Psychiatric Residential Treatment Facility | — | NULL | Yes |
| 324500000X | Substance Abuse Rehabilitation Facility | — | NULL | — |

## Other

- **Enumeration date:** 01/27/2026
- **Last updated:** 05/28/2026