Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Eternal Haven LLC

Organization Community/Behavioral Health Agency · NPI 1184489460

Eternal Haven LLC is a Community/Behavioral Health Agency in Concord, North Carolina. Registered with an NPI since 2024.

In the registry since
2024
Specialties on file
2
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

4111 Zebulon Ave SW
Concord, NC 28027-9209
Phone: (704) 796-1156
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Community/Behavioral Health Agency (primary) Taxonomy 251S00000X
Mental Illness Community Based Residential Treatment Facility Taxonomy 320800000X

Record details

NPI number1184489460
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Brandon Blasse — Executive Director · (704) 796-1156
NPI enumeratedFebruary 16, 2024
Last updated in NPPESOctober 28, 2025
Certification dateOctober 28, 2025
Mailing address4111 Zebulon Ave Sw, Concord, NC 28027-9209

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