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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