| Fairhavens Counseling And Community Services | |
|
1401 Crag Burn Ln Raleigh NC 27604-6907 | |
| (678) 778-4342 | |
| Not Available |
| Full Name | Fairhavens Counseling And Community Services |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1401 Crag Burn Ln, Raleigh, North Carolina |
| Authorized Official Name and Position | Janice Denise Davis (CLINICAL DIRECTOR) |
| Authorized Official Contact | 6787784342 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fairhavens Counseling And Community Services Po Box 1311 Knightdale NC 27545-1311 Ph: (678) 778-4342 | Fairhavens Counseling And Community Services 1401 Crag Burn Ln Raleigh NC 27604-6907 Ph: (678) 778-4342 |
| NPI Number | 1609111020 |
|---|---|
| Provider Enumeration Date | 12/11/2012 |
| Last Update Date | 12/11/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609111020 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (North Carolina) | Primary |
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