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Peace Haven Group Home, Llc
Emotionally Disturbed Childrens' Residential Treatment Facility in Taylorsville, North Carolina
NPI 1922249374

Peace Haven Group Home, Llc is a Emotionally Disturbed Childrens' Residential Treatment Facility based in Taylorsville, NC. Peace Haven Group Home, Llc practices in Taylorsville, NC. The NPI Number for Peace Haven Group Home, Llc is 1922249374 and holds a License No. MHL-002-019 (North Carolina).

The current practice location address for Peace Haven Group Home, Llc is 3122 Vashti Rd, Taylorsville, NC and can be reached out via phone at 828-632-0509.

Location: 3122 Vashti Rd, Taylorsville, NC, 28681-6828
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1922249374
Provider Name
Peace Haven Group Home, Llc
Credential
Provider Entity Type
Organization
Address
3122 Vashti Rd, Taylorsville, NC, 28681-6828
Phone Number
828-632-0509
Fax Number
Provider Enumeration Date
03/16/2009
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
3122 Vashti Rd
City
Taylorsville
State
North Carolina
Zip
28681-6828
Phone Number
828-632-0509
Fax Number
person
Provider Business Mailing Address Details
Address
3122 Vashti Rd
City
Taylorsville
State
North Carolina
Zip
28681-6828
Phone Number
828-632-0509
Fax Number
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Residential Treatment Facility, Emotionally Disturbed Children
Speciality
-
Taxonomy
322D00000X
License No.
MHL-002-019 (North Carolina)
Definition
A residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently.
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