Organization
HAVEN CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CARLOS VILLAFAN LPC (VP/COO)
(710) 590-4124
Entity
Organization
Contact information
Practice address
1155 KELLY JOHNSON BLVD, SUITE 111, COLORADO SPRINGS, CO 80920-3932
(719) 590-4124
(719) 448-0870
Mailing address
1155 KELLY JOHNSON BLVD, SUITE 111, COLORADO SPRINGS, CO 80920-3932
(719) 590-4124
(719) 448-0870
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
5586
CO
Other
Enumeration date
03/18/2010
Last updated
03/18/2010
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