Unique Haven Residential Services LLC
NPI #1841488400 in Creedmoor, North Carolina
Provider Information
- NPI Number
- 1841488400
- Entity Type
- Organization
- Organization Name
- Unique Haven Residential Services LLC
- Primary Specialty
- Community Based Residential Treatment Facility, Mental Illness
- Enumeration Date
- Oct 9, 2007
- Last Updated
- Oct 9, 2007
Practice Location
- Address
- 106 W CHURCH ST STE A
- City
- Creedmoor
- State
- North Carolina
- ZIP Code
- 27522-9765
- Phone
- (919) 247-3276
Authorized Official
- Name
- DERRICK DEVON DAVIS
- Title
- STAFF COORDINATOR
- Phone
- (919) 247-3276
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community Based Residential Treatment Facility, Mental Illness |
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