| NPI | 1861563488 |
|---|---|
| Doing Business As | A HEALTHY HAVEN |
| Entity Type | Organization |
| Authorized Contact | MARK ELLERMEIER President 919-734-9956 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: NC MHL-096178) |
| Enumeration Date | 2006-11-13 |
| Last Update Date | 2009-03-06 |