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Organization

J4 STABILITY & SAFE HAVEN LLC

Active
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Organization

J4 STABILITY & SAFE HAVEN LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
SHADAE T WILLIAMS LCSWA LCASA CADC (OWNER/ CEO)
(336) 749-5267
Entity
Organization

Contact information

Practice address
1308 N INDEPENDENCE ST, KINSTON, NC 28501-2908
(336) 749-5267
Mailing address
6201 MAURICE CIR, RURAL HALL, NC 27045-9734

Taxonomy

Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
—
—
3245S0500X
Children's Substance Abuse Rehabilitation Facility
—
—

Other

Enumeration date
05/17/2023
Last updated
05/17/2023
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