Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Haven Detox MA Operating Subsidiary, LLC

Organization Adult Mental Health Clinic/Center · NPI 1235088667

Haven Detox MA Operating Subsidiary, LLC is an Adult Mental Health Clinic/Center in Worcester, Massachusetts. Registered with an NPI since 2026.

In the registry since
2026
Specialties on file
3
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1369 Grafton St
Worcester, MA 01604-2737
Phone: (508) 522-3180
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Illness Community Based Residential Treatment Facility (primary) Taxonomy 320800000X
Adult Mental Health Clinic/Center Taxonomy 261QM0850X
Substance Abuse Rehabilitation Facility Taxonomy 324500000X

Record details

NPI number1235088667
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Tara Gurney — Authorized Official · (561) 517-3400
NPI enumeratedJanuary 27, 2026
Last updated in NPPESMay 28, 2026
Certification dateMay 28, 2026
Mailing address2925 10th Ave N, Palm Springs, FL 33461-3000

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