Organization
HAVEN CENTER, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VALERIE N KOSKI LICSW (ADMINISTRATOR)
(651) 277-4283
Entity
Organization
Contact information
Practice address
38460 LINCOLN TRL, SUITE 106, NORTH BRANCH, MN 55056-5834
(651) 277-4283
(651) 277-4284
Mailing address
38460 LINCOLN TRL, P.O. BOX 723, NORTH BRANCH, MN 55056-5834
(651) 277-4283
(651) 277-4284
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1053621722
—
MN
Enumeration date
07/23/2008
Last updated
08/16/2016
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