Organization
HOUSE OF DESTINY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CRYSTAL VENABLE LPN (DIRECTOR)
(252) 432-5970
Entity
Organization
Contact information
Practice address
1009 HARRIETT ST, HENDERSON, NC 27536-5527
(252) 432-5970
(252) 572-4489
Mailing address
402 W BELLE ST, HENDERSON, NC 27536-4101
(252) 432-5970
(252) 572-4489
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
08/21/2020
Last updated
05/21/2024
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