Organization
HAVEN HOUSE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEREMY STANTON (FOUNDER)
(310) 266-3957
Entity
Organization
Contact information
Practice address
2252 HILLSBORO AVE, LOS ANGELES, CA 90034
(310) 266-3957
Mailing address
2252 HILLSBORO AVE, LOS ANGELES, CA 90034-1123
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
190816AP
CA
Other
Enumeration date
02/06/2015
Last updated
02/06/2015
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