| Haven Of Positive Enrichment, Inc. | |
|
103 Sw First Street Pinetops NC 27886-0101 | |
| (252) 827-2777 | |
| (827) 827-2770 |
| Full Name | Haven Of Positive Enrichment, Inc. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 103 Sw First Street, Pinetops, North Carolina |
| Authorized Official Name and Position | James Guilford (PRESIDENT) |
| Authorized Official Contact | 2528272777 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Haven Of Positive Enrichment, Inc. P.o. Box 101 Pinetops NC 27864-0101 Ph: (252) 827-2777 | Haven Of Positive Enrichment, Inc. 103 Sw First Street Pinetops NC 27886-0101 Ph: (252) 827-2777 |
| NPI Number | 1295881910 |
|---|---|
| Provider Enumeration Date | 01/26/2007 |
| Last Update Date | 07/30/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295881910 | NPI | - | NPPES |
| 017R5 | Other | NC | BLUE CROSS BLUE SHIELD NC |
| 6005764 | Medicaid | NC | |
| 8301988 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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