Organization
HAVEN HOUSE SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE ZECHMANN (EXECUTIVE DIRECTOR)
(919) 833-3312
Entity
Organization
Contact information
Practice address
600 W CABARRUS ST, RALEIGH, NC 27603-1953
(919) 833-3313
(919) 833-3512
Mailing address
600 W CABARRUS ST, RALEIGH, NC 27603-1953
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
SL0000906
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8301281
—
NC
Enumeration date
11/01/2012
Last updated
11/01/2012
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