Organization · NPI-2
Aubreys Safe Haven LLC
Community Based Residential Treatment Facility, Mental Illness · Gastonia, NC
NPI number1639839962
StatusActive
Last updated in NPPESDec 28, 2021
Details
- NPI
- 1639839962
- Entity type
- Organization (NPI-2)
- Legal business name
- Aubreys Safe Haven LLC
- Organization subpart
- No
- Enumeration date
- Dec 28, 2021
- Certification date
- Dec 28, 2021
- Last updated
- Dec 28, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 320800000X | Community Based Residential Treatment Facility, Mental Illness | – | – | Yes |
| 320600000X | Residential Treatment Facility, Intellectual and/or Developmental Disabilities | – | – |
Practice location
837 Lynhaven DrGastonia, NC 28052-7611
Phone 215-847-7053
Mailing address
6607 Fawn View DrCharlotte, NC 28216-4847
Phone 215-847-7053
Authorized official
Tiera M Anderson
Director
2158477053
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