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Organization
PRECIOUS HAVEN INC.
Active
Organization
PRECIOUS HAVEN INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MELISSA MCNEILL MCALLISTER BS (PRESIDENT)
(910) 868-6092
Entity
Organization
Contact information
Practice address
315 DICK ST, FAYETTEVILLE, NC 28301-5729
(910) 868-6092
(910) 868-8882
Mailing address
PO BOX 25821, FAYETTEVILLE, NC 28314-5013
(910) 868-6092
(910) 868-8882
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
NC
101YM0800X
Mental Health Counselor
—
NC
251S00000X
Community/Behavioral Health Agency
MHL-026-673
NC
251S00000X
Community/Behavioral Health Agency
MHL-026-959
NC
251S00000X
Community/Behavioral Health Agency
MHL-047-155
NC
251S00000X
Community/Behavioral Health Agency
MHL026-834
NC
253J00000X
Foster Care Agency
—
NC
320800000X
Mental Illness Community Based Residential Treatment Facility
MHL-026-959
NC
320800000X
Mental Illness Community Based Residential Treatment Facility
MHL-047-155
NC
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
MHL-026-673
NC
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
MHL-026-924
NC
323P00000X
Psychiatric Residential Treatment Facility
Primary
MHL-047-155
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6008367
—
NC
05
—
6603455
—
NC
05
—
6604463
—
NC
05
—
8301769G
—
NC
05
—
MHL-047-155
—
NC
Enumeration date
02/14/2007
Last updated
04/06/2018
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