Whalio Doctors

NPI 1003010125

The Haven Halfway House, LLC

Organisation Substance Abuse Rehabilitation Facility Saint Joseph, MN

Practice location

Address
32524 Meadow Ln, Saint Joseph, MN 56374-9760
Phone
(320) 202-7881

Authorised official

Name
Thomas Russell Austad
Title
Chief Executive Officer
Phone
(320) 293-3418

Registered specialties

Substance Abuse Rehabilitation Facility Primary
Residential Treatment Facilities Taxonomy 324500000X Licence 1044351 (MN)

Registry record

NPI
1003010125
Entity type
Organization
NPI issued
13 Jun 2007
Record last updated
22 Aug 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.