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Organization
DIYAH'S HOME INC
Active
Organization
DIYAH'S HOME INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID HAQQ (DIRECTOR)
(910) 904-6699
Entity
Organization
Contact information
Practice address
7403 LAURINBURG RD, RAEFORD, NC 28376-7296
(901) 904-6699
(901) 904-1879
Mailing address
PO BOX 2744, FAYETTEVILLE, NC 28302-2744
(910) 904-6699
(910) 904-1879
Taxonomy
Speciality
Code
Description
License number
State
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
—
NULL
Other
Enumeration date
12/07/2007
Last updated
01/10/2008
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