Organization
ABUNDANCE SAFE HAVEN INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TERRON H. SIMPSON SR. (EXECUTIVE DIRECTOR)
(919) 680-2030
Entity
Organization
Contact information
Practice address
1156 DELANO ST, DURHAM, NC 27703-2244
(919) 680-2030
(919) 682-6637
Mailing address
1821 HILLANDALE RD, 1B, DURHAM, NC 27705-2659
(919) 680-2030
(919) 682-6637
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
MHL-032-387
NC
Other
Enumeration date
02/15/2007
Last updated
08/22/2020
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