Provider Demographics
NPI:1225387962
Name:SAVES HAVEN DRUG AND ALCOHOL REHAB CENTER
Entity Type:Organization
Organization Name:SAVES HAVEN DRUG AND ALCOHOL REHAB CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR AND FOUNDER
Authorized Official - Prefix:MS
Authorized Official - First Name:BETTY
Authorized Official - Middle Name:L
Authorized Official - Last Name:CITIZEN
Authorized Official - Suffix:
Authorized Official - Credentials:RT, CADC
Authorized Official - Phone:337-309-2967
Mailing Address - Street 1:419 LEBATO STREET
Mailing Address - Street 2:
Mailing Address - City:LAKE CHARLES
Mailing Address - State:LA
Mailing Address - Zip Code:70601
Mailing Address - Country:US
Mailing Address - Phone:337-309-2967
Mailing Address - Fax:
Practice Address - Street 1:419 LEBATO STREET
Practice Address - Street 2:
Practice Address - City:LAKE CHARLES
Practice Address - State:LA
Practice Address - Zip Code:70601
Practice Address - Country:US
Practice Address - Phone:337-309-2967
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-09-07
Last Update Date:2012-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes324500000XResidential Treatment FacilitiesSubstance Abuse Rehabilitation Facility