OrganizationActive
Haven Detox of New Jersey LLC
NPI 1255113569 · Substance Abuse Rehabilitation Facility · Blackwood, NJ
Provider details
- NPI number
- 1255113569
- Entity type
- Organization
- Primary specialty
- Substance Abuse Rehabilitation FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Kirill Vesselov, President(561) 396-5849
Specialties & taxonomies
Residential Treatment Facilities
Practice location
6 Collier Dr
Blackwood, NJ 08012-2983
Phone: (561) 635-2400
Approximate (ZIP-level) locationGet directions
Mailing address
2925 10th Ave N
Palm Springs, FL 33461-3000
Registry dates
- Enumerated
- 2023-10-20
- Last updated
- 2025-01-15
- Certified
- 2025-01-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.