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Haven Detox of New Jersey LLC

Substance Abuse Rehabilitation Facility in Blackwood, NJ · enumerated 2023 · authorized official Kirill Vesselov, President.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1255113569

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Registry record

Entity type Organization (Type 2)
Legal business name Haven Detox of New Jersey LLC
Practice address 6 Collier Dr, Blackwood, NJ, 08012
Phone (561) 635-2400
Enumeration date Oct 20, 2023
Last updated in NPPES Jan 15, 2025

Taxonomy & classification

324500000X Substance Abuse Rehabilitation Facility Residential Treatment Facilities Primary

Authorized official

Name Kirill Vesselov
Title President
Phone (561) 396-5849

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2025-01-15. Verify at npiregistry.cms.hhs.gov.
Where is Haven Detox of New Jersey LLC located?
The practice location on file with NPPES is in Blackwood, NJ.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2025-01-15.