Organization
THE HAVEN, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DONALD STEWART (EXECUTIVE DIRECTOR)
(561) 483-0962
Entity
Organization
Contact information
Practice address
21441 BOCA RIO RD, BOCA RATON, FL 33433-2604
(561) 483-0962
(561) 487-8007
Mailing address
21441 BOCA RIO RD, BOCA RATON, FL 33433-2604
(561) 483-0962
(561) 487-8007
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
ME0060288
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
360001700
—
FL
Enumeration date
03/14/2007
Last updated
07/10/2008
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