OrganizationActive
Haven Detox Tulsa LLC
NPI 1558224063 · Substance Abuse Rehabilitation Facility · Tulsa, OK
Provider details
- NPI number
- 1558224063
- Entity type
- Organization
- Primary specialty
- Substance Abuse Rehabilitation FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Kirill Vesselov, President(561) 461-3791
Specialties & taxonomies
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
2130 S 85th East Ave
Tulsa, OK 74129-3066
Phone: (561) 461-3791
Street-level locationGet directions
Mailing address
2925 10th Ave N
Palm Springs, FL 33461-3000
Registry dates
- Enumerated
- 2025-12-03
- Last updated
- 2025-12-03
- Certified
- 2025-12-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.