# CHILDHAVEN, INC.

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

## Provider details

- **NPI number:** 1578668513
- **Authorized official:** DR. JIM WRIGHT DMIN (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (256) 734-6720

## Contact information

- **Practice address:** 1816 CHILDHAVEN RD NE, CULLMAN, AL 35055-5902
- **Practice address phone:** (256) 734-6720
- **Practice address fax:** (256) 734-6721
- **Mailing address:** PO BOX 2070, 1816 CHILDHAVEN RD, CULLMAN, AL 35056-2070
- **Mailing address phone:** (256) 734-6720
- **Mailing address fax:** (256) 734-6721

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 322D00000X | Emotionally Disturbed Childrens' Residential Treatment Facility | 000295 | AL | Yes |

## Other

- **Enumeration date:** 09/14/2006
- **Last updated:** 08/22/2020