| Haven Of Peace Enterprise | |
|
9 Lacour Ln Edgewood NM 87015-6002 | |
| (617) 407-2460 | |
| Not Available |
| Full Name | Haven Of Peace Enterprise |
|---|---|
| Speciality | Counselor - Professional |
| Location | 9 Lacour Ln, Edgewood, New Mexico |
| Authorized Official Name and Position | Anthony Scott (CEO) |
| Authorized Official Contact | 6174072460 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Haven Of Peace Enterprise 9 Lacour Ln Edgewood NM 87015-6002 Ph: (617) 407-2460 | Haven Of Peace Enterprise 9 Lacour Ln Edgewood NM 87015-6002 Ph: (617) 407-2460 |
| NPI Number | 1255273611 |
|---|---|
| Provider Enumeration Date | 04/07/2026 |
| Last Update Date | 04/07/2026 |
| Certification Date | 04/07/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255273611 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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