# HAVEN

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1285862292
- **Authorized official:** DWIGHT LYSNE M,D., DIV. (DIRECTOR)
- **Authorized official phone:** (910) 465-1935

## Contact information

- **Practice address:** 20 S 16TH ST, WILMINGTON, NC 28401-4924
- **Practice address phone:** (910) 399-3927
- **Practice address fax:** (910) 399-3928
- **Mailing address:** 20 S 16TH ST, WILMINGTON, NC 28401-4924
- **Mailing address phone:** (910) 399-3927
- **Mailing address fax:** (910) 399-3928

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2084P0804X | Child & Adolescent Psychiatry Physician | 200301378 | NC | Yes |

## Other

- **Enumeration date:** 06/29/2009
- **Last updated:** 01/02/2014