Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Mental Health (Including Community Mental Health Center) |
261QM0801X | B4[14] | Community Mental Health Center | |
Psychiatric Residential Treatment Facility |
323P00000X |
| NPI Number | 1366314429 |
| LBN Legal business name | HAVENWOOD II |
| Authorized official | NATHAN HOFELING - (OWNER) |
| Entity | Organization |
| Organization subpart 1 | Yes |
| Enumeration date | 09/19/2025 |
| Last updated | 04/15/2026 - About 2 months ago |
| Identifiers | n/a |
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