Organization
HAVEN RECOVERY LLC
Active
Organization
HAVEN RECOVERY LLC
Active
Parent organization
HAVEN RECOVERY LLC
Other names
Haven Recovery LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
HAVEN RECOVERY LLC
Authorized official
IVY MICHELLE O'BRIEN (OWNER)
(801) 400-7176
Entity
Organization
Contact information
Practice address
1474 W 2100 N, PLEASANT GROVE, UT 84062-9508
(801) 400-7176
Mailing address
11295 N TAMARACK DR, HIGHLAND, UT 84003-9596
(801) 400-7176
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
08/20/2019
Last updated
08/20/2019
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