Organization
FAMILY HAVEN LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID KIBET (DIRECTOR)
(719) 201-2619
Entity
Organization
Contact information
Practice address
2913 17TH PL, FOREST GROVE, OR 97116-2613
(719) 201-2619
Mailing address
2913 17TH PL, FOREST GROVE, OR 97116-2613
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
01/27/2026
Last updated
01/27/2026
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