Organization · Type 2 NPI

Haven House Community Support Center of Price County

Community/Behavioral Health Agency · Phillips, WI

NPI number 1942473780 Active

Practice location

548 N Lake Ave
Phillips, WI 54555

Fax (715) 339-6450

Specialties and licenses

Taxonomy	Code	License
Community/Behavioral Health Agency Primary	251S00000X	753145419 (WI)

Community/Behavioral Health Agency: A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day suppo…

6 other providers at this address

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NPI record

NPI: 1942473780
Entity type: Organization (Type 2)
Issued: Apr 11, 2008
Last updated: Oct 20, 2008
Status: Active
Subpart: Yes of Haven House Community Support Center of Price County

Other names

<unavail>
Haven House Community Support Center of Price Co · former legal business name

Authorized official

Ms. Pamela Marie Olson, LICENSED CLINICAL SO
Clinical Coordinator
(715) 339-6449

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1942473780

Haven House Community Support Center of Price County's National Provider Identifier is 1942473780, issued on Apr 11, 2008. The primary taxonomy on file is Community/Behavioral Health Agency (251S00000X), and the practice location is in Phillips, WI. The record was last updated on Oct 20, 2008.