Haven
Haven is a Psychiatry Physician in Wilmington, North Carolina. Licensed in North Carolina. Registered with an NPI since 2013.
- Licensed in
- NC
- In the registry since
- 2013
Practice location Address checks out
20 S 16th StWilmington, NC 28401-4924
Phone: (910) 399-3927
Fax: (910) 399-3928
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Psychiatry Physician (primary) | Taxonomy 2084P0800X · Licence 200301378 (NC) |
|---|
Record details
| NPI number | 1184055436 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Dwight Lysne — Medical Director & Pastor · (910) 399-3927 |
| NPI enumerated | December 11, 2013 |
| Last updated in NPPES | December 11, 2013 |
| Mailing address | 20 S 16th St, Wilmington, NC 28401-4924 |
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