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Organization
NEW HAVEN FAMILY SERVICES #2
Active
Organization
NEW HAVEN FAMILY SERVICES #2
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IDRIS TALIB (PRESIDENT)
(704) 501-7655
Entity
Organization
Contact information
Practice address
730 HAWTHORNE LN, SUITE 352, CHARLOTTE, NC 28204-2108
(704) 501-7655
(704) 665-5715
Mailing address
730 HAWTHORNE LN, SUITE 352, CHARLOTTE, NC 28204-2108
(704) 501-7655
(704) 665-5715
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
09/02/2011
Last updated
09/02/2011
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