Organization
A HARBOR OF HOPE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DANIEL LEE IVEY JR. (OWNER)
(910) 599-6746
Entity
Organization
Contact information
Practice address
1438 HERRINGS CHAPEL RD, BURGAW, NC 28425-2899
(910) 599-6746
Mailing address
1438 HERRINGS CHAPEL RD, BURGAW, NC 28425-2899
(910) 599-6746
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
01/29/2013
Last updated
01/29/2013
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