Organization
HAVEN MINISTRIES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DWIGHT HOWARD LYSNE MD, MDIV (DIRECTOR)
(910) 399-3927
Entity
Organization
Contact information
Practice address
7212 OYSTER LN, WILMINGTON, NC 28411-7132
(910) 465-1935
(910) 399-3928
Mailing address
20 S 16TH ST, WILMINGTON, NC 28401-4924
(910) 399-3927
(910) 399-3928
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
200301378
NC
Other
Enumeration date
10/12/2016
Last updated
10/12/2016
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