HAVEN DETOX MA OPERATING SUBSIDIARY, LLC – NPI #1235088667
Community Based Residential Treatment Facility, Mental Illness

A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.

HAVEN DETOX MA OPERATING SUBSIDIARY, LLC is a community based residential treatment facility located in WORCESTER, MA. NPPES has assigned the NPI number 1235088667 to HAVEN DETOX MA OPERATING SUBSIDIARY, LLC on January 27, 2026. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 320800000X from the Health Care Provider Taxonomy code set, which is classified as Community Based Residential Treatment Facility, Mental Illness.

The NPI profile was last updated on May 28, 2026. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for HAVEN DETOX MA OPERATING SUBSIDIARY, LLC below.

NPI Profile for
HAVEN DETOX MA OPERATING SUBSIDIARY, LLC

NPI Number
1235088667
Enumeration Date

(about 4 months ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
HAVEN DETOX MA OPERATING SUBSIDIARY, LLC
Primary location
1369 GRAFTON ST
WORCESTER, MA 01604-2737
Phone: (508) 522-3180 Fax:
Mailing address
2925 10TH AVE N
PALM SPRINGS, FL 33461-3000
Phone: Fax:
Organization Subpart
No
Authorized Official
TARA GURNEY
AUTHORIZED OFFICIAL
Phone: (561) 517-3400
Updated
Certification Date
May 28, 2026

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.