NPI 1487436796
Haven Arizona, LLC
Practice location
- Address
- 3161 S Prosperous Pl, Green Valley, AZ 85614-6403
- Phone
- (561) 635-2400
- Mailing address
- 2925 10th Ave N, Palm Springs, FL 33461-3000
Authorised official
- Name
- Kirill Vesselov
- Title
- President
- Phone
- (561) 396-5849
Registered specialties (2)
Substance Abuse Rehabilitation Facility
Primary
Psychiatric Hospital
Registry record
- NPI
- 1487436796
- Entity type
- Organization
- NPI issued
- 20 Oct 2023
- Record last updated
- 19 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.