| Haven Ministires, Inc. | |
|
107 Church St Lake Waccamaw NC 28450-1909 | |
| (910) 803-1620 | |
| (215) 902-4882 |
| Full Name | Haven Ministires, Inc. |
|---|---|
| Speciality | Psychiatry & Neurology - Child & Adolescent Psychiatry |
| Location | 107 Church St, Lake Waccamaw, North Carolina |
| Authorized Official Name and Position | Dwight Howard Lysne (DIRECTOR) |
| Authorized Official Contact | 9108031620 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Haven Ministires, Inc. 7212 Oyster Ln Wilmington NC 28411-7132 Ph: (910) 803-1620 | Haven Ministires, Inc. 107 Church St Lake Waccamaw NC 28450-1909 Ph: (910) 803-1620 |
| NPI Number | 1528371614 |
|---|---|
| Provider Enumeration Date | 07/19/2010 |
| Last Update Date | 07/19/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528371614 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0804X | Psychiatry & Neurology - Child & Adolescent Psychiatry | 200301378 (North Carolina) | Primary |
Boys & Girls Homes Of Nc, Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 104 E Old Highway 74 76, Lake Waccamaw, NC 28450 Phone: 910-646-3083 Fax: 910-356-0081 | |
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 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 |