Organization
HAVEN DETOX MA OPERATING SUBSIDIARY, LLC
Active
Organization
HAVEN DETOX MA OPERATING SUBSIDIARY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TARA GURNEY (AUTHORIZED OFFICIAL)
(561) 517-3400
Entity
Organization
Contact information
Practice address
1369 GRAFTON ST, WORCESTER, MA 01604-2737
(508) 522-3180
Mailing address
2925 10TH AVE N, PALM SPRINGS, FL 33461-3000
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
—
—
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
324500000X
Substance Abuse Rehabilitation Facility
—
—
Other
Enumeration date
01/27/2026
Last updated
05/28/2026
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