The Haven Halfway House, LLC
Organization Active NPI Substance Abuse Rehabilitation Facility · Saint Joseph, MN
NPI 1003010125 · NPPES record last updated Aug 22, 2020
Key facts
- NPI
- 1003010125
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Substance Abuse Rehabilitation Facility 324500000X
- License
- 1044351 (MN)
- Legal business name
- THE HAVEN HALFWAY HOUSE, LLC
- Practice address
- 32524 Meadow LN
Saint Joseph, MN 56374-9760 - Phone
- (320) 202-7881
- NPI assigned
- Jun 13, 2007
- Organization subpart
- No
Authorized official
- Name
- Mr. Thomas Russell Austad, LADC
- Title
- Chief Executive Officer
- Phone
- (320) 293-3418
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Substance Abuse Rehabilitation Facility | 324500000X | 1044351 | MN | Yes |
Addresses
Primary practice location
32524 Meadow LN
Saint Joseph, MN 56374-9760
Mailing address
32524 Meadow LN
Saint Joseph, MN 56374-9760
Phone (320) 293-3418
Other providers in Saint Joseph, MN
- Signature Therapy, PLLC
- Mark Simon Stang
- Nancy Streng
- Joseph R Styles
- Synergistic Healing
- Benjamin Varoga
- Hannah E Warnert
- Jessica Warzecka
- Jerry L Wetterling
- Katrina Nicole Wherry
All providers in Saint Joseph, MN · Substance Abuse Rehabilitation Facility in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.