OrganizationHaven Empowerment CenterSocial WorkerBehavioral Health & Social Service ProvidersPractice Address2 Gramatan Ave Ste 311, Mount Vernon, NY 10550-3216(914) 663-7201PECOS EnrollmentBased on the most recent information from CMS, provider Haven Empowerment Center does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 3 days ago.Profile DetailsProvider ID1336658608Provider TypeOrganizationFull NameHaven Empowerment CenterSubpartNoEnumeration Date9/29/2017Last Updated7/21/2022Contact InformationPractice LocationPractice Address2 Gramatan Ave Ste 311, Mount Vernon, NY 10550-3216Phone(914) 663-7201FaxUnlisted FaxMailing LocationMailing Address2 Gramatan Ave Ste 311, Mount Vernon, NY 10550-3216Phone(914) 663-7201FaxUnlisted FaxAuthorized OfficialNameWarwick, Ruth (Owner)Phone(914) 663-7201Provider TaxonomiesCodeDescriptionLicenseCode1041C0700XPrimaryDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicense037506New YorkProvider IdentifiersIDDescriptionIssuerID02854626DescriptionMedicaidIssuerUnlistedNew York