OrganizationActive
Haven Detox Ma Operating Subsidiary, LLC
NPI 1235088667 · Mental Illness Community Based Residential Treatment Facility · Worcester, MA
Provider details
- NPI number
- 1235088667
- Entity type
- Organization
- Primary specialty
- Mental Illness Community Based Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Tara Gurney, Authorized Official(561) 517-3400
Specialties & taxonomies
Residential Treatment Facilities
- Adult Mental Health Clinic/Center261QM0850X
Ambulatory Health Care Facilities
- Substance Abuse Rehabilitation Facility324500000X
Residential Treatment Facilities
Profile Score
Established profile(53/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1369 Grafton St
Worcester, MA 01604-2737
Phone: (508) 522-3180
Street-level locationGet directions
Mailing address
2925 10th Ave N
Palm Springs, FL 33461-3000
Registry dates
- Enumerated
- 2026-01-27
- Last updated
- 2026-05-28
- Certified
- 2026-05-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.