| Organization Name: | HAVEN ROAD RECOVERY CENTER, LLC |
| NPI Number: | 1619153160 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MARGARET SCHUETT (OWNER) |
| Mailing Address: | 17 2nd St N Long Prairie |
| State: | MN US |
| Postal Code: | 563471117 |
| Phone Number: | 3206320065 |
| Fax Number: | 3206320920 |
| NPI Enumeration Date: | 01/15/2008 |
| NPI Last Update Date: | 08/18/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YA0400X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Addiction (Substance Use Disorder) |
| Taxonomy Definition: | |