NPI 1376325720

Haven New England: Mh

Organisation Mental Illness Community Based Residential Treatment Facility Worcester, MA

Practice location

Address: 1369 Grafton St, Worcester, MA 01604-2737
Phone: (561) 635-2400
Mailing address: 2925 10th Ave N, Palm Springs, FL 33461-3000

Authorised official

Name: Kirill Vesselov
Title: President
Phone: (561) 635-2400

Registered specialties (2)

Mental Illness Community Based Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320800000X

Other Community Based Residential Treatment Facility, Mental Illness providers in Massachusetts →

Adult Mental Health Clinic/Center

Ambulatory Health Care Facilities Taxonomy 261QM0850X

Other Clinic/Center providers in Massachusetts →

Registry record

NPI: 1376325720
Entity type: Organization
NPI issued: 19 Oct 2023
Record last updated: 19 Oct 2023

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.