Organization
PEACEHAVEN FARM INC.
Active
Other names
Peacehaven Community Farm
Organization subpart
No
Provider details
NPI number
Authorized official
ADAM MICHAEL BARNES (DIRECTOR OF HOUSING)
(336) 449-9900
Entity
Organization
Contact information
Practice address
1458 NC HIGHWAY 61, WHITSETT, NC 27377-9772
(336) 449-9900
Mailing address
1458 NC HIGHWAY 61, WHITSETT, NC 27377-9772
(336) 449-9900
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
261QD1600X
Developmental Disabilities Clinic/Center
—
—
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
385H00000X
Respite Care
—
—
Other
Enumeration date
12/20/2022
Last updated
12/20/2022
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