NPI 1770159105
Haven Detox Ma
Practice location
- Address
- 1369 Grafton St, Worcester, MA 01604-2737
- Phone
- (508) 552-3180
Authorised official
- Name
- John Maroney
- Title
- Manager
- Phone
- (508) 552-3180
Registered specialties (3)
Mental Illness Community Based Residential Treatment Facility
Primary
Adult Mental Health Clinic/Center
Substance Abuse Rehabilitation Facility
Registry record
- NPI
- 1770159105
- Entity type
- Organization
- NPI issued
- 27 May 2021
- Record last updated
- 28 Nov 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.