| Bliss Haven Group Llc | |
|
2442 Sandhurst Ct Gastonia NC 28054-2738 | |
| (704) 904-9322 | |
| Not Available |
| Full Name | Bliss Haven Group Llc |
|---|---|
| Speciality | Community Based Residential Treatment Facility, Mental Illness |
| Location | 2442 Sandhurst Ct, Gastonia, North Carolina |
| Authorized Official Name and Position | Sheena S (CEO/EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 3362535371 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bliss Haven Group Llc 1800 Camden Rd Ste 107-48 Charlotte NC 28203-4690 Ph: (704) 904-9322 | Bliss Haven Group Llc 2442 Sandhurst Ct Gastonia NC 28054-2738 Ph: (704) 904-9322 |
| NPI Number | 1245837061 |
|---|---|
| Provider Enumeration Date | 10/05/2020 |
| Last Update Date | 02/15/2023 |
| Certification Date | 02/15/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245837061 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Secondary |
| 320800000X | Community Based Residential Treatment Facility, Mental Illness | (* (Not Available)) | Primary |
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