NPI 1073995080

The Haven Detox Center LLC

Organisation Substance Abuse Rehabilitation Facility Lacey, WA

Practice location

Address: 8649 Martin Way E, Lacey, WA 98516-5812
Phone: (360) 515-0422
Fax: (928) 708-9620

Authorised official

Name: Katie Lager
Title: Office Director
Phone: (360) 515-0422

Registered specialties

Substance Abuse Rehabilitation Facility Primary

Residential Treatment Facilities Taxonomy 324500000X Licence RTF.FS.60577277 (WA)

Other Substance Abuse Rehabilitation Facility providers in Washington →

Registry record

NPI: 1073995080
Entity type: Organization
NPI issued: 25 Jun 2015
Record last updated: 25 Jun 2015

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.