Organization
CO CARE HAVEN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CURTIS CARREL JOHNSON (OWNER)
(310) 562-1507
Entity
Organization
Contact information
Practice address
8181 ARISTA PL UNIT 100, BROOMFIELD, CO 80021-7916
(310) 562-1507
Mailing address
12810 JARVIS AVE, LOS ANGELES, CA 90061-2244
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
Other
Enumeration date
08/07/2025
Last updated
10/13/2025
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