Whalio Doctors

NPI 1770159105

Haven Detox Ma

Organisation Mental Illness Community Based Residential Treatment Facility Worcester, 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
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
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.