Terry's Safe Haven

NPI 1285073023 - Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities - 320600000X

NPI Details
NPI 1285073023
Enumeration Date 06/14/2013
Last Updated 02/18/2015
Entity Type Healthcare Provider
Active Over 3 years ago
Authorized Information
Name KIERAN M KIERAN
Position PRESIDENT, CFO
Phone (704) 841-3544
Fax (704) 841-3545
Practice Location
8112 RUNNING CEDAR TRAIL
RALEIGH NC, 27615, US
Phone (704) 841-3544
Fax (704) 841-3545
Business Location
2331 CROWNPOINT EXECUTIVE DRIVE SUITE J
CHARLOTTE NC, 28227-7749, US
Phone (704) 841-3544
Fax (704) 841-3545
Toxanomy
Taxonomy Code 320600000X
License State North Carolina
License Number 092-864
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According to our database, Terry's Safe Haven NPI is 1285073023, taxonomy code is 320600000X and license number is 092-864, license state is located at North Carolina. Terry's Safe Haven physically located at 8112 Running Cedar Trail, Raleigh NC, 27615. NPI Number 1033115704 has the healthcare provider type.

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1285073023 NPI number is provided on an as is basis without warranty of any kind. 1285073023 is maintained by the National Plan & Provider Enumeration System. The contents of Terry's Safe Haven are for informational purposes only.