OrganizationActive
Haven Detox Ma
NPI 1770159105 · Mental Illness Community Based Residential Treatment Facility · Worcester, MA
Provider details
- NPI number
- 1770159105
- Entity type
- Organization
- Primary specialty
- Mental Illness Community Based Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- John Maroney, Manager(508) 552-3180
Specialties & taxonomies
Residential Treatment Facilities
- Adult Mental Health Clinic/Center261QM0850X
Ambulatory Health Care Facilities
- Substance Abuse Rehabilitation Facility324500000X
Residential Treatment Facilities
Practice location
1369 Grafton St
Worcester, MA 01604-2737
Phone: (508) 552-3180
Approximate (ZIP-level) locationGet directions
Mailing address
1369 Grafton St
Worcester, MA 01604-2737
Other names (DBA / former)
- Doing business as
- The Haven New England
Registry dates
- Enumerated
- 2021-05-27
- Last updated
- 2023-11-28
- Certified
- 2023-11-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.