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Organization
NEW HAVEN FAMILY SERVICES INC.
Active
Organization
NEW HAVEN FAMILY SERVICES INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. IDRIS TALIB (CHIEF EXECUTIVE OFFICER)
(704) 501-7655
Entity
Organization
Contact information
Practice address
9320 LONG CREEK FAIRWAY DR, BOX 101, CHARLOTTE, NC 28216-2599
(704) 501-7655
(704) 665-5715
Mailing address
9320 LONG CREEK FAIRWAY DR, BOX 101, CHARLOTTE, NC 28216-2599
(704) 501-7655
(704) 665-5715
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
08/26/2010
Last updated
05/14/2011
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