Organization
HAYWOOD HAVEN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KARLA KIMBROUGH (ADMINISTRATOR)
(910) 369-2134
Entity
Organization
Contact information
Practice address
24741 WHITE ST, WAGRAM, NC 28396-9798
(910) 369-2131
Mailing address
24741 WHITE ST, WAGRAM, NC 28396-9798
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
12/26/2008
Last updated
12/26/2008
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