NPI 1902755341
Haven Detox Lr Operating Subsidiary, LLC
Practice location
- Address
- 5201 Stagecoach Rd, Little Rock, AR 72204-8515
- Phone
- (501) 406-0903
- Mailing address
- 2925 10th Ave N, Palm Springs, FL 33461-3000
Authorised official
- Name
- Tara Gurney
- Title
- Authorized Official
- Phone
- (561) 517-3400
Registered specialties (3)
Psychiatric Residential Treatment Facility
Primary
Mental Illness Community Based Residential Treatment Facility
Substance Abuse Rehabilitation Facility
Registry record
- NPI
- 1902755341
- Entity type
- Organization
- NPI issued
- 27 Jan 2026
- Record last updated
- 28 May 2026
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.