| Haven Community And Social Services Agency | |
|
43284 W Arizona Ave Maricopa AZ 85138-8236 | |
| (520) 350-4697 | |
| Not Available |
| Full Name | Haven Community And Social Services Agency |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 43284 W Arizona Ave, Maricopa, Arizona |
| Authorized Official Name and Position | Tamla D Alexander (PRESIDENT/CEO) |
| Authorized Official Contact | 5203504697 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Haven Community And Social Services Agency 43284 W Arizona Ave Maricopa AZ 85138-8236 Ph: (520) 350-4697 | Haven Community And Social Services Agency 43284 W Arizona Ave Maricopa AZ 85138-8236 Ph: (520) 350-4697 |
| NPI Number | 1104447770 |
|---|---|
| Provider Enumeration Date | 05/05/2020 |
| Last Update Date | 11/27/2023 |
| Certification Date | 05/05/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104447770 | NPI | - | NPPES |
| 265556 | Medicaid | AZ |
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