Whalio Doctors

NPI 1235088667

Haven Detox Ma Operating Subsidiary, LLC

Organisation Mental Illness Community Based Residential Treatment Facility Worcester, MA

Practice location

Address
1369 Grafton St, Worcester, MA 01604-2737
Phone
(508) 522-3180
Mailing address
2925 10th Ave N, Palm Springs, FL 33461-3000

Authorised official

Name
Tara Gurney
Title
Authorized Official
Phone
(561) 517-3400

Registered specialties (3)

Mental Illness Community Based Residential Treatment Facility Primary
Residential Treatment Facilities Taxonomy 320800000X
Adult Mental Health Clinic/Center
Ambulatory Health Care Facilities Taxonomy 261QM0850X
Substance Abuse Rehabilitation Facility
Residential Treatment Facilities Taxonomy 324500000X

Registry record

NPI
1235088667
Entity type
Organization
NPI issued
27 Jan 2026
Record last updated
28 May 2026

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.