Organization
HAVEN BEHAVIORAL SERVICES OF PHOENIX, LLC
Active
Organization
HAVEN BEHAVIORAL SERVICES OF PHOENIX, LLC
Active
Other names
Haven Behavioral Hospital of Phoenix
Organization subpart
No
Provider details
NPI number
Authorized official
LAURA TARANTINO (EVP)
(972) 464-0022
Entity
Organization
Contact information
Practice address
1201 S 7TH AVE, SUITE 200, PHOENIX, AZ 85007-3913
(623) 236-2000
(623) 236-2050
Mailing address
3102 W END AVE STE 1000, NASHVILLE, TN 37203-1324
(615) 398-8800
(615) 982-9829
Taxonomy
Speciality
Code
Description
License number
State
283Q00000X
Psychiatric Hospital
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
417059
—
AZ
01
—
Z136159
MEDICARE B
AZ
Enumeration date
12/06/2007
Last updated
03/12/2025
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