Organization
HAVEN AT BLUE CREEK LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. COLLEEN MARIE BALOT (CEO)
(877) 342-8362
Entity
Organization
Contact information
Practice address
2582 BLUE CREEK LN, GRIMESLAND, NC 27837-9641
(877) 342-8362
Mailing address
1290 E ARLINGTON BLVD STE 113, GREENVILLE, NC 27858-7854
(877) 342-8362
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
07/11/2022
Last updated
07/11/2022
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