Organization
HAVEN OF POSITIVE ENRICHMENT, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES GUILFORD (PRESIDENT)
(252) 827-2777
Entity
Organization
Contact information
Practice address
103 SW FIRST STREET, PINETOPS, NC 27886-0101
(252) 827-2777
(827) 827-2770
Mailing address
P.O. BOX 101, PINETOPS, NC 27864-0101
(252) 827-2777
(252) 827-2770
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
017R5
BLUE CROSS BLUE SHIELD NC
NC
05
—
6005764
—
NC
05
—
8301988
—
NC
Enumeration date
01/26/2007
Last updated
07/30/2007
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