Organization
HAVEN HOUSE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMANDA MELISSA DUNSING (FISCAL MANAGER)
(484) 387-1719
Entity
Organization
Contact information
Practice address
1411 UNION BLVD, ALLENTOWN, PA 18109-2423
(610) 433-6181
(610) 433-5124
Mailing address
1411 UNION BLVD, ALLENTOWN, PA 18109-2423
(610) 433-6181
(610) 433-5124
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
211340
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1007763130005
—
PA
05
—
1007763130006
—
PA
05
—
1007763130007
—
PA
05
—
1007763130009
—
PA
01
—
260526000
MCO PROVIDER NUMBER
PA
Enumeration date
06/24/2005
Last updated
02/24/2026
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