| Diyah's Home Inc | |
|
7403 Laurinburg Rd Raeford NC 28376-7296 | |
| (901) 904-6699 | |
| (901) 904-1879 |
| Full Name | Diyah's Home Inc |
|---|---|
| Speciality | Clinic/center - Adolescent And Children Mental Health |
| Location | 7403 Laurinburg Rd, Raeford, North Carolina |
| Authorized Official Name and Position | David Haqq (DIRECTOR) |
| Authorized Official Contact | 9109046699 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Diyah's Home Inc Po Box 2744 Fayetteville NC 28302-2744 Ph: (910) 904-6699 | Diyah's Home Inc 7403 Laurinburg Rd Raeford NC 28376-7296 Ph: (901) 904-6699 |
| NPI Number | 1801079397 |
|---|---|
| Provider Enumeration Date | 12/07/2007 |
| Last Update Date | 01/10/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801079397 | NPI | - | NPPES |
| 8301895 | Medicaid | NC | |
| 8301895B | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | (* (Not Available)) | Primary |
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