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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

HAVEN DETOX NJ OPERATING SUBSIDIARY, LLC
NPI 1871442202
Substance Abuse Rehabilitation Facility in Blackwood, NJ

Active since January 27, 2026CLIA 31D2215957 · Waiver
6 COLLIER DR, BLACKWOOD, NJ 08012(856) 856-2883 Get Directions Write a Review

NPPES record last updated: October 26, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Oct 26, 2026, May 28, 2026, Mar 25, 2026 and 1 more (4 updates tracked since 2026).

About Haven Detox Nj Operating Subsidiary, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

HAVEN DETOX NJ OPERATING SUBSIDIARY, LLC (NPI 1871442202), doing business as The Haven Detox New Jersey Mental Health And Addiction Rehab, is a healthcare organization registered as a substance abuse rehabilitation facility in Blackwood, New Jersey and active in the NPI registry since January 2026. The organization holds a CLIA Waiver certificate valid through March 8, 2027 and lists Tara Gurney, Authorized Official, as its authorized official.

NPPES Registry Identity

NPI1871442202
Entity TypeOrganization
Primary Taxonomy324500000X
Legal Business NameHAVEN DETOX NJ OPERATING SUBSIDIARY, LLC
Location Address6 COLLIER DRBlackwood, NJ 08012-2983
Mailing Address2925 10th Ave NPalm Springs, FL 33461-3000
Phone(856) 856-2883
Organization SubpartNo
Authorized OfficialTara GurneyAuthorized Official · (561) 517-3400
Enumeration DateJanuary 27, 2026
Last NPPES UpdateOctober 26, 20264 updates tracked since enumeration
NPPES CertifiedOctober 26, 2026
✔ NPI 1871442202 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySubstance Abuse Rehabilitation FacilityResidential Treatment Facilities
Taxonomy Code324500000X
Definition
A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.
6 COLLIER DR, Blackwood, NJ 08012
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Other Names 1

Doing Business AsThe Haven Detox New Jersey Mental Health And Addiction Rehab

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 31D2215957

Haven Detox Nj Operating Subsidiary, LLC · Blackwood, NJ
Active · expires Mar 8, 2027
CLIA Number31D2215957
Laboratory TypeSubstance Abuse Facility
Certificate Effective DateMarch 9, 2025
Certificate Expiration DateMarch 8, 2027
Laboratory DirectorCaroline K. Mcwilliams
Laboratory Phone(561) 307-1212
Laboratory LocationHaven Detox Nj Operating Subsidiary, LLC6 Collier Drive, Blackwood, NJ 08012
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

GERALD J DURIVAGE APN
Nurse Practitioner (Family)
6 COLLIER DR
BLACKWOOD, NJ 08012
Camden County (610) 908-9811
MRS. CYNTHIA A. MENZONI APN-BC
Nurse Practitioner (Adult Health)
6 COLLIER DR
BLACKWOOD, NJ 08012
Camden County (856) 677-5226
HAVEN DETOX OF NEW JERSEY LLC
Substance Abuse Rehabilitation Facility
6 COLLIER DR
BLACKWOOD, NJ 08012
Camden County (561) 635-2400

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Haven Detox Nj Operating Subsidiary, LLC's NPI number?

The NPI number for Haven Detox Nj Operating Subsidiary, LLC is 1871442202. It was assigned to this organization in the NPPES registry on January 27, 2026. The provider is doing business as The Haven Detox New Jersey Mental Health and Addiction Rehab.

Where is Haven Detox Nj Operating Subsidiary, LLC located?

Haven Detox Nj Operating Subsidiary, LLC is located at 6 Collier Dr, Blackwood, NJ 08012. The listed phone number is (856) 856-2883.

What is Haven Detox Nj Operating Subsidiary, LLC's specialty?

The primary specialty registered for this NPI is Substance Abuse Rehabilitation Facility with taxonomy code 324500000X.

Does Haven Detox Nj Operating Subsidiary, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 31D2215957) is associated with this NPI, valid through March 8, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Haven Detox Nj Operating Subsidiary, LLC was last updated on October 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.