Organization
PRECIOUS HAVEN INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MELISSA MCALLISTER (DIRECTOR)
(910) 868-6092
Entity
Organization
Contact information
Practice address
7762 HAZELWOOD AVE, FAYETTEVILLE, NC 28314-6246
(910) 868-6092
(910) 868-8882
Mailing address
7762 HAZELWOOD AVE, FAYETTEVILLE, NC 28314-6246
(910) 868-6092
(910) 868-8882
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
8301769G
NC
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
8301769H
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8301769
—
NC
Enumeration date
05/19/2009
Last updated
05/19/2009
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