PRECIOUS HAVEN INC. NPI 1295960326

NPI Information

NPI: 1295960326
Provider Name: PRECIOUS HAVEN INC.
Classification: Community Based Residential Treatment Facility, Mental Illness - 320800000X
Entity Type: Organization
Address:
7762 HAZELWOOD AVE
FAYETTEVILLE, NC
ZIP 28314
Phone: (910) 868-6092
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PRECIOUS HAVEN INC. is a community based residential treatment facility mental illness in Fayetteville, NC. The provider is a home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. PRECIOUS HAVEN INC. NPI is 1295960326. The provider is registered as an organization entity type.

The provider's business location address is:

7762 HAZELWOOD AVE
FAYETTEVILLE, NC
ZIP 28314-246
Phone: (910) 868-6092
Fax: (910) 868-8882

The provider's authorized official is Melissa Mcallister .
The authorized official title is Director and has the following contact phone number (910) 868-6092.

The enumeration date for this NPI number is 5/19/2009 and was last updated on 5/19/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	320800000X	Community Based Residential Treatment Facility, Mental Illness		8301769G	NORTH CAROLINA	No
2	320800000X	Community Based Residential Treatment Facility, Mental Illness		8301769H	NORTH CAROLINA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	8301769	MEDICAID	NORTH CAROLINA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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