Haven Detox Ma Operating Subsidiary, LLC

Primary specialty

Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X

Legal business name

HAVEN DETOX MA OPERATING SUBSIDIARY, LLC

Practice address

1369 Grafton St
Worcester, MA 01604-2737

Phone

(508) 522-3180

NPI assigned

Jan 27, 2026

Organization subpart

No

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

Authorized official

Name

Tara Gurney

Title

Authorized Official

Phone

(561) 517-3400

Specialties & licenses 3

Addresses

Locations

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

{
    "created_epoch": "1769472000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1779926400000",
    "number": "1235088667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2925 10TH AVE N",
            "city": "PALM SPRINGS",
            "state": "FL",
            "postal_code": "334613000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1369 GRAFTON ST",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016042737",
            "telephone_number": "508-522-3180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAVEN DETOX MA OPERATING SUBSIDIARY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-01-27",
        "last_updated": "2026-05-28",
        "certification_date": "2026-05-28",
        "status": "A",
        "authorized_official_last_name": "GURNEY",
        "authorized_official_first_name": "TARA",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "561-517-3400"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristina Hatzipetrou
• Wai Fung Hau, MD
• Audra L. Hauck, P.A.
• Joshua Haugh, DO
• Haven Detox Ma (The Haven New England)
• Haven New England: MH
• Mali Malka Haver Glazer
• Cathleen Joan Havey, OTA
• Karen A. Hawk, LSW
• Megan Hawkins

• Mental Illness Community Based Residential Treatment Facility in Worcester, MA
• Providers in Worcester, MA by specialty
• Mental Illness Community Based Residential Treatment Facility in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2026; 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.