Organization
HAVEN BEHAVIORAL SERVICES OF PHILADELPHIA, LLC
Active
Other names
Haven Behavioral Hospital of Philadelphia
Organization subpart
No
Provider details
NPI number
Authorized official
LAURA TARANTINO (EVP)
(972) 464-0022
Entity
Organization
Contact information
Practice address
3300 HENRY AVE, UNIT 4, PHILADELPHIA, PA 19129-1121
(615) 250-9500
(615) 250-9515
Mailing address
3102 W END AVE STE 1000, NASHVILLE, TN 37203-1324
(615) 393-8800
(615) 982-8123
Taxonomy
Speciality
Code
Description
License number
State
283Q00000X
Psychiatric Hospital
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1029437890001
—
PA
Enumeration date
04/24/2013
Last updated
03/24/2025
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