Organization
FAIRHAVENS COUNSELING AND COMMUNITY SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JANICE DENISE DAVIS M.ED, ED.S, LPC, NCC (CLINICAL DIRECTOR)
(678) 778-4342
Entity
Organization
Contact information
Practice address
1401 CRAG BURN LN, RALEIGH, NC 27604-6907
(678) 778-4342
Mailing address
PO BOX 1311, KNIGHTDALE, NC 27545-1311
(678) 778-4342
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
NC
Other
Enumeration date
12/11/2012
Last updated
12/11/2012
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