Organization
HAVEN CHEMICAL HEALTH
Active
Parent organization
HAVEN CHEMICAL HEALTH
Organization subpart
Yes
Provider details
NPI number
Legal business name
HAVEN CHEMICAL HEALTH
Authorized official
JENNIFER LYNN FRAZERJOHN (ADMINISTRATOR)
(651) 734-9633
Entity
Organization
Contact information
Practice address
950 9TH AVE, ST PAUL PARK, MN 55071-1436
(651) 734-9633
(651) 734-9533
Mailing address
2042 WOODDALE DR STE 220, WOODBURY, MN 55125-4421
(651) 734-9633
(651) 734-9633
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
11/19/2020
Last updated
11/19/2020
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