| Haven Chemical Health Systems, Llc | |
|
235 First Avenue East Shakopee MN 55379 | |
| (952) 496-3366 | |
| (952) 496-2506 |
| Full Name | Haven Chemical Health Systems, Llc |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 235 First Avenue East, Shakopee, Minnesota |
| Authorized Official Name and Position | Jennifer L Frzer-john (ADMINISTRATOR) |
| Authorized Official Contact | 6517349633 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Haven Chemical Health Systems, Llc 2042 Wooddale Dr Suite 220 Woodbury MN 55125-2981 Ph: (651) 734-9633 | Haven Chemical Health Systems, Llc 235 First Avenue East Shakopee MN 55379 Ph: (952) 496-3366 |
| NPI Number | 1073676672 |
|---|---|
| Provider Enumeration Date | 12/18/2006 |
| Last Update Date | 02/07/2020 |
| Certification Date | 02/07/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073676672 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 1009085-2-CDT (Minnesota) | Primary |
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