Organization
HAVEN CORP.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CARLOS VILLAFAN MA, NCC (VICE PRESIDENT OF OPERATIONS)
(719) 590-4124
Entity
Organization
Contact information
Practice address
125 N PARKSIDE DR STE 108, COLORADO SPRINGS, CO 80909-6026
(719) 448-0865
Mailing address
1155 KELLY JOHNSON BLVD STE 111, COLORADO SPRINGS, CO 80920-3957
(719) 590-4124
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
2007153889
CO
Other
Enumeration date
06/26/2008
Last updated
06/26/2008
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