HAVEN HOUSE COMMUNITY SUPPORT CENTER OF PRICE COUNTY - NPI 1942473780 - Community/Behavioral Health in Phillips, WI

Q: What is Haven House Community Support Center Of Price County's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

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About Haven House Community Support Center Of Price County NPPES

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

HAVEN HOUSE COMMUNITY SUPPORT CENTER OF PRICE COUNTY (NPI 1942473780), doing business as Haven House Community Support Center Of Price Co, is a healthcare organization registered as a community/behavioral health in Phillips, Wisconsin and active in the NPI registry since April 2008. The organization lists Pamela Marie Olson, Clinical Coordinator, as its authorized official.

NPPES Registry Identity

NPI1942473780

Entity TypeOrganization

Primary Taxonomy251S00000X

Legal Business NameHAVEN HOUSE COMMUNITY SUPPORT CENTER OF PRICE COUNTY

Location Address548 N LAKE AVEPhillips, WI 54555

Mailing Address548 N Lake AvePhillips, WI 54555 · (715) 339-6449 · Fax (715) 339-6450

Phone(715) 339-6449

Fax(715) 339-6450

Organization SubpartYes

Authorized OfficialPamela Marie OlsonClinical Coordinator · (715) 339-6449

Enumeration DateApril 11, 2008

Last NPPES UpdateOctober 20, 2008

✔ NPI 1942473780 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity/Behavioral HealthAgencies

Taxonomy Code251S00000X

License✔ Licensed in WI · 753145419

Definition

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 support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.

548 N LAKE AVE, Phillips, WI 54555

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Other Names 1

Former Legal Business NameHaven House Community Support Center Of Price Co

Other Identifiers 1

Medicaid43429400WI

Other Providers at the Same Location NPPES 6

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

HAVEN HOUSE COMMUNITY SUPPORT CENTER LLC

Community/Behavioral Health