Organization
AUBREYS SAFE HAVEN LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIERA M ANDERSON (DIRECTOR)
(215) 847-7053
Entity
Organization
Contact information
Practice address
837 LYNHAVEN DR, GASTONIA, NC 28052-7611
(215) 847-7053
Mailing address
6607 FAWN VIEW DR, CHARLOTTE, NC 28216-4847
(215) 847-7053
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
—
—
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
12/28/2021
Last updated
12/28/2021
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