Organization
HAVEN ONE-EIGHTY LLC
Active
Other names
Haven One-Eighty
Organization subpart
No
Provider details
NPI number
Authorized official
ANALIZA DE PEDRO (MEMBER)
(602) 358-9175
Entity
Organization
Contact information
Practice address
15213 N 143RD AVENUE, 8738 W CHOLLA, PEORIA, AZ 85345
(602) 358-9175
Mailing address
15213 N 143RD AVE, SURPRISE, AZ 85379-8542
(160) 235-8917
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
08/07/2023
Last updated
08/07/2023
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