# HAVEN MINISTRIES, INC.

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

## Provider details

- **NPI number:** 1285948620
- **Authorized official:** DR. DWIGHT HOWARD LYSNE MD, MDIV (DIRECTOR)
- **Authorized official phone:** (910) 803-1620

## Contact information

- **Practice address:** 3725 WRIGHTSVILLE AVE STE B, WILMINGTON, NC 28403-4140
- **Practice address phone:** (910) 803-1620
- **Practice address fax:** (215) 902-4882
- **Mailing address:** 7212 OYSTER LN, WILMINGTON, NC 28411-7132
- **Mailing address phone:** (910) 803-1620
- **Mailing address fax:** (215) 902-4882

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2084P0800X | Psychiatry Physician | 200301378 | NC | — |
| 2084P0802X | Addiction Psychiatry Physician | 200301378 | NC | — |
| 2084P0804X | Child & Adolescent Psychiatry Physician | 200301378 | NC | Yes |

## Other

- **Enumeration date:** 07/27/2010
- **Last updated:** 07/27/2010