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Organization

HAVEN MINISTRIES, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. DWIGHT HOWARD LYSNE MD, MDIV (DIRECTOR)
(910) 803-1620
Entity
Organization

Contact information

Practice address
3725 WRIGHTSVILLE AVE STE B, WILMINGTON, NC 28403-4140
(910) 803-1620
(215) 902-4882
Mailing address
7212 OYSTER LN, WILMINGTON, NC 28411-7132
(910) 803-1620
(215) 902-4882

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
200301378
NC
2084P0802X
Addiction Psychiatry Physician
200301378
NC
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
200301378
NC

Other

Enumeration date
07/27/2010
Last updated
07/27/2010
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