Organization
THE HAVEN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HEATHER JOY CHASE LSAC (CASE MANAGER)
(801) 533-0070
Entity
Organization
Contact information
Practice address
1450 S WEST TEMPLE, APT F 304, SALT LAKE CITY, UT 84115-5203
(801) 577-8842
Mailing address
1450 SOUTH WEST TEMPLE, APT F 304, SALT LAKE CITY, UT 84115-5203
(801) 577-8842
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
16103
UT
Other
Enumeration date
01/18/2011
Last updated
01/18/2011
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