Organization
HAVEN CHEMICAL HEALTH SYSTEMS, LLC
Active
Other names
Rebecca Residence Scandia
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT HAVEN (PRESIDENT)
(651) 734-9633
Entity
Organization
Contact information
Practice address
21077 PENROSE AVE N, SCANDIA, MN 55073-9710
(651) 433-5839
(651) 433-5921
Mailing address
2042 WOODDALE DR, SUITE 220, WOODBURY, MN 55125-2981
(651) 734-9633
(651) 734-9533
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1024597-1-CDT
MN
Other
Enumeration date
12/18/2006
Last updated
08/22/2020
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