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An organization including a physical plant and personnel that provides multidisciplinary diagnostic and treatment mental health services to patients requiring the safety, security, and shelter of the inpatient or partial hospitalization settings.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Psychiatric Hospital |
283Q00000X | A0[7] | Hospital-Psychiatric (PPS excluded) | |
Community Based Residential Treatment Facility, Mental Illness |
320800000X | |||
Psychiatric Residential Treatment Facility |
323P00000X | |||
Psychiatric Unit |
273R00000X | A0[7] | Hospital-Psychiatric Unit | |
Substance Abuse Disorder Rehabilitation Facility |
324500000X |
| NPI # | 1457762809 |
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| LBN Legal business name | THE HAVEN DETOX | ||||
| DBA Doing business as | THE HAVEN DETOX, LLC | ||||
| Authorized official | KIRILL VESSELOV - (PRESIDENT/CEO) | ||||
| Entity | Organization | ||||
| Organization subpart 1 | No | ||||
| Enumeration date | 05/19/2014 | ||||
| Last updated | 02/28/2025 - More than a year ago | ||||
| Identifiers |
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THE HAVEN DETOX, LLC