| Boys & Girls Homes Of Nc, Inc | |
| 104 E Old Highway 74 76 Lake Waccamaw NC 28450-2512 | |
| (910) 646-3083 | |
| (910) 356-0081 | 
| Full Name | Boys & Girls Homes Of Nc, Inc | 
|---|---|
| Speciality | Foster Care Agency | 
| Location | 104 E Old Highway 74 76, Lake Waccamaw, North Carolina | 
| Authorized Official Name and Position | Ricky Creech (CEO) | 
| Authorized Official Contact | 9106463083 | 
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. | 
| Mailing Address | Practice Location Address | 
|---|---|
| Boys & Girls Homes Of Nc, Inc Po Box 127 Lake Waccamaw NC 28450-0127 Ph: (910) 646-3083 | Boys & Girls Homes Of Nc, Inc 104 E Old Highway 74 76 Lake Waccamaw NC 28450-2512 Ph: (910) 646-3083 | 
| NPI Number | 1245542745 | 
|---|---|
| Provider Enumeration Date | 07/13/2010 | 
| Last Update Date | 01/31/2022 | 
| Certification Date | 01/31/2022 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1245542745 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 251S00000X | Community/behavioral Health | B00004 (North Carolina) | Secondary | 
| 253J00000X | Foster Care Agency | B00004 (North Carolina) | Primary | 
| Haven Ministries, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 400 Flemington Drive, Lake Waccamaw, NC 28450 Phone: 910-803-1620 Fax: 484-315-2387 | |
| Haven Ministires, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 107 Church St, Lake Waccamaw, NC 28450 Phone: 910-803-1620 Fax: 215-902-4882 | |
| Haven Ministries, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 107 Church St, Lake Waccamaw, NC 28450 Phone: 910-803-1620 Fax: 215-902-4882 |