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Organization

HAVEN HOUSE INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. ADRIANNE ELLIOTT (ACCOUNTING TECHNICIAN)
(919) 833-3312
Entity
Organization

Contact information

Practice address
600 W CABARRUS ST, RALEIGH, NC 27603-1953
(919) 833-3312
(919) 833-3512
Mailing address
600 W CABARRUS ST, RALEIGH, NC 27603-1953
(919) 833-3312
(919) 833-3512

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
101YM0800X
Mental Health Counselor
104100000X
Social Worker
251S00000X
Community/Behavioral Health Agency

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
6005518
NC
05
8301281
NC
Enumeration date
06/29/2007
Last updated
05/22/2013
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