Organization
THE HAVEN DETOX CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATIE LAGER (OFFICE DIRECTOR)
(360) 515-0422
Entity
Organization
Contact information
Practice address
8649 MARTIN WAY E, LACEY, WA 98516-5812
(360) 515-0422
(928) 708-9620
Mailing address
8649 MARTIN WAY E, LACEY, WA 98516-5812
(360) 515-0422
(928) 708-9620
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
RTF.FS.60577277
WA
Other
Enumeration date
06/25/2015
Last updated
06/25/2015
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