Organization
HAVEN DETOX MA
Active
Other names
The Haven New England
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN MARONEY (MANAGER)
(508) 552-3180
Entity
Organization
Contact information
Practice address
1369 GRAFTON ST, WORCESTER, MA 01604-2737
(508) 552-3180
Mailing address
1369 GRAFTON ST, WORCESTER, MA 01604-2737
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
—
—
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
324500000X
Substance Abuse Rehabilitation Facility
—
—
Other
Enumeration date
05/27/2021
Last updated
11/28/2023
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