Organization
THE HAVEN'S OUTPATIENT CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARGARET HIGGINS PHD (EXECUTIVE DIRECTOR)
(520) 623-4590
Entity
Organization
Contact information
Practice address
2601 N CAMPBELL AVE, SUITE 105, TUCSON, AZ 85719-2651
(520) 623-4590
(520) 623-6015
Mailing address
1107 E ADELAIDE DR, TUCSON, AZ 85719-2651
(520) 623-4590
(520) 207-3531
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
OTC7623
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
077397
—
AZ
Enumeration date
11/04/2015
Last updated
06/17/2016
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