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Organization
DESTINY'S HAVEN, LLC
Active
Organization
DESTINY'S HAVEN, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TIMOTHY COLIN PRIDE (DIRECTOR)
(704) 651-1317
Entity
Organization
Contact information
Practice address
6736 PATTONSBURG DR, CHARLOTTE, NC 28213-2152
(980) 949-8686
Mailing address
6736 PATTONSBURG DR, CHARLOTTE, NC 28213-2152
(980) 949-8686
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
—
—
Other
Enumeration date
06/05/2025
Last updated
06/05/2025
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