# HAVEN HOUSE INCORPORATED

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

## Provider details

- **NPI number:** 1346348554
- **Authorized official:** MR. MICHAEL JOHN RIEDER MPA (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (919) 833-3312

## Contact information

- **Practice address:** 706 HILLSBOROUGH ST, SUITE 102, RALEIGH, NC 27603-1656
- **Practice address phone:** (919) 833-3312
- **Practice address fax:** (919) 833-3512
- **Mailing address:** 706 HILLSBOROUGH ST, SUITE 102, RALEIGH, NC 27603-1656
- **Mailing address phone:** (919) 833-3312
- **Mailing address fax:** (919) 833-3512

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101Y00000X | Counselor | — | NULL | — |
| 101Y00000X | Counselor | — | — | — |
| 101YM0800X | Mental Health Counselor | — | NULL | Yes |
| 101YM0800X | Mental Health Counselor | — | — | Yes |
| 104100000X | Social Worker | — | NULL | — |
| 104100000X | Social Worker | — | — | — |

## Other

- **Enumeration date:** 09/20/2006
- **Last updated:** 07/18/2007