Organization
HAVEN OF POSITIVE ENRICHMENT, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES EDWARD GUILFORD Q.M.H.P. (EXECUTIVE DIRECTOR/CEO)
(252) 946-9427
Entity
Organization
Contact information
Practice address
858 HACKNEY AVE, WASHINGTON, NC 27889-4246
(252) 946-9427
(252) 946-9872
Mailing address
858 HACKNEY AVE, WASHINGTON, NC 27889-4246
(252) 946-9427
(252) 946-9872
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
017R5
BLUECROSSBLUESHIELD OF NC
NC
05
—
8301067B
—
NC
05
—
8301067G
—
NC
05
—
8301067H
—
NC
Enumeration date
10/04/2006
Last updated
07/14/2007
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