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Organization
HAVEN CHEMICAL HEALTH SYSTEMS, LLC
Active
Organization
HAVEN CHEMICAL HEALTH SYSTEMS, LLC
Active
Other names
Rebecca Residence Scandia
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT HAVEN (PRESIDENT)
(651) 734-9633
Entity
Organization
Contact information
Practice address
21077 PENROSE AVE N, SCANDIA, MN 55073-9710
(651) 433-5839
(651) 433-5921
Mailing address
2042 WOODDALE DR, SUITE 220, WOODBURY, MN 55125-2981
(651) 734-9633
(651) 734-9533
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1024597-1-CDT
MN
Other
Enumeration date
12/18/2006
Last updated
08/22/2020
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