Organization
HAVENS OF OHIO LLC
Active
Other names
Woodhaven
Organization subpart
No
Provider details
NPI number
Authorized official
LINDA DUNLAP (CLINICAL DIRECTOR)
(937) 813-3717
Entity
Organization
Contact information
Practice address
1 ELIZABETH PL, DAYTON, OH 45417-3445
(937) 837-3717
Mailing address
1 ELIZABETH PL, DAYTON, OH 45417-3445
(937) 837-3717
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
13533
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
13533
—
OH
Enumeration date
06/12/2014
Last updated
06/12/2014
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