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Diyah'S Home INC

Clinic/Center, Adolescent and Children Mental Health in Raeford, NC. Organization (NPI-2).

NPI number1801079397
StatusActive
Last updated in NPPESJan 10, 2008

Details

NPI
1801079397
Entity type
Organization (NPI-2)
Legal business name
Diyah'S Home INC
Organization subpart
No
Enumeration date
Dec 7, 2007
Last updated
Jan 10, 2008

Medicare and OIG

Medicare enrolled (PECOS)
Not in the Medicare enrollment file
Can order and refer
Not on the CMS order and referring list
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261QM0855X Clinic/Center, Adolescent and Children Mental Health––Yes

Practice location

7403 Laurinburg Rd
Raeford, NC 28376-7296

Phone 901-904-6699 · Fax 901-904-1879

Mailing address

Po Box 2744
Fayetteville, NC 28302-2744

Phone 910-904-6699 · Fax 910-904-1879

Authorized official

David Haqq
Director
9109046699

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