NPI 1457762809

Haven Detox

Organisation Psychiatric Hospital West Palm Beach, FL

Practice location

Address: 1325 N Haverhill Rd, West Palm Beach, FL 33417-5914
Phone: (561) 635-2400
Mailing address: 1325 North Haverhill Road, West Palm Beach, FL 33417

Authorised official

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

Registered specialties (5)

Psychiatric Hospital Primary

Hospitals Taxonomy 283Q00000X

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Psychiatric Hospital Unit

Hospital Units Taxonomy 273R00000X

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Mental Illness Community Based Residential Treatment Facility

Residential Treatment Facilities Taxonomy 320800000X

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Psychiatric Residential Treatment Facility

Residential Treatment Facilities Taxonomy 323P00000X

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Substance Abuse Rehabilitation Facility

Residential Treatment Facilities Taxonomy 324500000X Licence 1550AD274001 (FL)

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Registry record

NPI: 1457762809
Entity type: Organization
NPI issued: 19 May 2014
Record last updated: 28 Feb 2025

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.