The Haven'S Outpatient Clinic

LBN: The Haven'S Outpatient Clinic
The Haven'S Outpatient Clinic is an health care organization with primary practice located at 2601 N Campbell Ave Suite 105, Tucson AZ 85719-2651. The organization recently has only one registered license in Residential Treatment Facilities / Substance Abuse Rehabilitation Facility, which is considered as the primary health care specialty. The Haven'S Outpatient Clinic can be contacted via phone (520) 623-4590, or through Higgins, Margaret via phone (520) 623-4590.

Contact Information

Primary practice address
2601 N Campbell Ave Suite 105 Tucson AZ 85719-2651
Fax: (520) 623-6015
Website:
Authorized official contact:
Name: Higgins, Margaret PHD

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Substance Abuse Rehabilitation Facility 324500000X OTC7623 Arizona

Profile Details

NPI number 1215300819
LBN Legal business name The Haven'S Outpatient Clinic
DBA Doing business as
Authorized official Higgins, Margaret PHD
Entity Organization
Organization subpart 1 No
Enumeration date Nov 4th, 2015
Last updated Jun 17th, 2016 - about 9 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1215300819 NPPES
Arizona MEDICAID 077397

Popular Providers