Organization
HAVEN DETOX
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KIRILL VESSELOV (PRESIDENT/CEO)
(561) 635-2400
Entity
Organization
Contact information
Practice address
1325 N HAVERHILL RD, WEST PALM BEACH, FL 33417-5914
(561) 635-2400
Mailing address
1325 NORTH HAVERHILL ROAD, WEST PALM BEACH, FL 33417
(561) 635-2400
Taxonomy
Speciality
Code
Description
License number
State
273R00000X
Psychiatric Hospital Unit
—
—
283Q00000X
Psychiatric Hospital
Primary
—
—
320800000X
Mental Illness Community Based Residential Treatment Facility
—
—
323P00000X
Psychiatric Residential Treatment Facility
—
—
324500000X
Substance Abuse Rehabilitation Facility
1550AD274001
FL
Other
Enumeration date
05/19/2014
Last updated
02/28/2025
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