The Haven Detox Center LLC

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

License

RTF.FS.60577277 Issued in WA

Legal business name

THE HAVEN DETOX CENTER LLC

Practice address

8649 Martin Way E
Lacey, WA 98516-5812

Phone

(360) 515-0422

Fax

(928) 708-9620

NPI assigned

Jun 25, 2015

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Katie Lager

Title

Office Director

Phone

(360) 515-0422

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1435190400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1435190400000",
    "number": "1073995080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8649 MARTIN WAY E",
            "city": "LACEY",
            "state": "WA",
            "postal_code": "985165812",
            "telephone_number": "360-515-0422",
            "fax_number": "928-708-9620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8649 MARTIN WAY E",
            "city": "LACEY",
            "state": "WA",
            "postal_code": "985165812",
            "telephone_number": "360-515-0422",
            "fax_number": "928-708-9620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE HAVEN DETOX CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-25",
        "last_updated": "2015-06-25",
        "status": "A",
        "authorized_official_last_name": "LAGER",
        "authorized_official_first_name": "KATIE",
        "authorized_official_title_or_position": "OFFICE DIRECTOR",
        "authorized_official_telephone_number": "360-515-0422"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "WA",
            "license": "RTF.FS.60577277",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Substance Abuse Rehabilitation Facility in Lacey, WA
• Providers in Lacey, WA by specialty
• Substance Abuse Rehabilitation Facility in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.