Organization
HAVEN HOUSE INCORPORATED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL JOHN RIEDER MPA (EXECUTIVE DIRECTOR)
(919) 833-3312
Entity
Organization
Contact information
Practice address
706 HILLSBOROUGH ST, SUITE 102, RALEIGH, NC 27603-1656
(919) 833-3312
(919) 833-3512
Mailing address
706 HILLSBOROUGH ST, SUITE 102, RALEIGH, NC 27603-1656
(919) 833-3312
(919) 833-3512
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
—
—
104100000X
Social Worker
—
—
Other
Enumeration date
09/20/2006
Last updated
07/18/2007
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