Provider Demographics
NPI:1376267625
Name:CIRCLE HAVEN, INC.
Entity Type:Organization
Organization Name:CIRCLE HAVEN, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF OPERATING OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:ABBE
Authorized Official - Middle Name:
Authorized Official - Last Name:GREENBERG
Authorized Official - Suffix:
Authorized Official - Credentials:LSW
Authorized Official - Phone:201-394-6738
Mailing Address - Street 1:369 STAMETS RD
Mailing Address - Street 2:
Mailing Address - City:MILFORD
Mailing Address - State:NJ
Mailing Address - Zip Code:08848-2215
Mailing Address - Country:US
Mailing Address - Phone:908-836-4777
Mailing Address - Fax:973-544-9616
Practice Address - Street 1:369 STAMETS RD
Practice Address - Street 2:
Practice Address - City:MILFORD
Practice Address - State:NJ
Practice Address - Zip Code:08848-2215
Practice Address - Country:US
Practice Address - Phone:908-836-4777
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-09-30
Last Update Date:2022-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320600000XResidential Treatment FacilitiesResidential Treatment Facility, Intellectual and/or Developmental Disabilities