Unique Haven Residential Services Llc in Creedmoor - Community Based Residential Treatment Facility, Mental Illness
Unique Haven Residential Services Llc - NPI 1841488400
Unique Haven Residential Services Llc is a Community Based Residential Treatment Facility, Mental Illness in Creedmoor, North Carolina. Unique Haven Residential Services Llc practices all healthcare services and medical treatments related to Community Based Residential Treatment Facility, Mental Illness. The NPI Number for Unique Haven Residential Services Llc is 1841488400. The last update date is 2007-10-09.
Unique Haven Residential Services Llc's current location address is 106 W Church St Ste A, Creedmoor, North Carolina. You can contact this provider via phone number 9192473276. The mailing address for Unique Haven Residential Services Llc is 106 W Church St Ste A, Creedmoor, North Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Unique Haven Residential Services Llc |
|---|---|
| Address | 106 W Church St Ste A, Creedmoor, North Carolina |
| Phone Number | 9192473276 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | STAFF COOR |
|---|---|
| Authorized Official Name | Davis Devon Derrick |
| Telephone Number | 9192473276 |
NPI Number Detail
| NPI Number | 1841488400 |
|---|---|
| Provider Enumeration Date | 2007-10-09 |
| Last Updated Date | 2007-10-09 |
Provider Mailing Address Detail
| Address | 106 W Church St Ste A |
|---|---|
| City | Creedmoor |
| State | North Carolina (NC) |
| Post Code | 275229765 |
| Phone Number | 9192473276 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Community Based Residential Treatment Facility, Mental Illness |
|---|---|
| Taxonomy | 320800000X |
| Licence No | 39043 |
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Definition: A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. |
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What is the Unique Haven Residential Services Llc's 1841488400?
The Unique Haven Residential Services Llc's NPI (National Provider Identifier) Number is 1841488400. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Unique Haven Residential Services Llc?
The Unique Haven Residential Services Llc is situated at 106 W Church St Ste A, in the city of Creedmoor, state of NC, with the zip code 275229765.
What is Unique Haven Residential Services Llc's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Unique Haven Residential Services Llc is Community Based Residential Treatment Facility, Mental Illness, and the corresponding taxonomy classification code for this specialized field is 320800000X.
On what date was the 1841488400 assigned to Unique Haven Residential Services Llc?
The Unique Haven Residential Services Llc was issued its 1841488400 on 2007-10-09, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details pertaining to Unique Haven Residential Services Llc last refreshed?
The information related to the Unique Haven Residential Services Llc, including its address, specialty, and other relevant details, was last updated on 2007-10-09.