| Haven Of Positive Enrichment, Inc. | |
|
858 Hackney Ave Washington NC 27889-4246 | |
| (252) 946-9427 | |
| (252) 946-9872 |
| Full Name | Haven Of Positive Enrichment, Inc. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 858 Hackney Ave, Washington, North Carolina |
| Authorized Official Name and Position | James Edward Guilford (EXECUTIVE DIRECTOR/CEO) |
| Authorized Official Contact | 2529469427 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Haven Of Positive Enrichment, Inc. 858 Hackney Ave Washington NC 27889-4246 Ph: (252) 946-9427 | Haven Of Positive Enrichment, Inc. 858 Hackney Ave Washington NC 27889-4246 Ph: (252) 946-9427 |
| NPI Number | 1598850364 |
|---|---|
| Provider Enumeration Date | 10/04/2006 |
| Last Update Date | 07/14/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598850364 | NPI | - | NPPES |
| 017R5 | Other | NC | BLUECROSSBLUESHIELD OF NC |
| 8301067B | Medicaid | NC | |
| 8301067G | Medicaid | NC | |
| 8301067H | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (North Carolina) | Primary |
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