Organization
HAVENWOOD ACADEMY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BLAINE HOFELING (CEO)
(435) 586-2500
Entity
Organization
Contact information
Practice address
465 W 1600 N, CEDAR CITY, UT 84721-7743
(435) 586-2500
Mailing address
1115 S MAIN ST STE 200, CEDAR CITY, UT 84720-3834
(435) 586-2500
Taxonomy
Speciality
Code
Description
License number
State
323P00000X
Psychiatric Residential Treatment Facility
Primary
28425
UT
Other
Enumeration date
02/13/2017
Last updated
02/13/2017
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