Organization
HAVEN MENTAL HEALTH CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTIAN ROUSSEAU MA (PRESIDENT)
(540) 636-0068
Entity
Organization
Contact information
Practice address
235 SOUTH ST STE A, FRONT ROYAL, VA 22630-2197
(540) 636-0068
(540) 635-4006
Mailing address
235 SOUTH ST STE A, FRONT ROYAL, VA 22630-2197
(540) 636-0068
(540) 635-4006
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00000
—
VA
Enumeration date
03/29/2019
Last updated
03/29/2019
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