Organization
HAVEN CHEMICAL HEALTH SYSTEMS, LLC
Active
Other names
Janet's Residence
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT LEONARD HAVEN (OWNER/PRESIDENT)
(651) 734-9633
Entity
Organization
Contact information
Practice address
950 9TH AVE, ST PAUL PARK, MN 55071-1436
(651) 734-9633
(651) 734-9533
Mailing address
950 9TH AVE, ST PAUL PARK, MN 55071-1436
(651) 734-9633
(651) 734-9533
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1011741-1-CDT
MN
Other
Enumeration date
12/18/2006
Last updated
03/02/2021
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