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General NPI Number Information
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NPI Number | 1790632446
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Entity Type | Organization
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Legal Business Name | HOPE HAVEN YOUTH SERVICES LLC
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Dates
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Enumeration Date | 03/12/2026
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Last Update Date | 03/12/2026
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Provider Practice Location Address
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Address Line | 6400 ZIEGLER LN
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City | CHARLOTTE
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State | NC
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Zip | 28269-3300
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Country | US
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Telephone | 704-769-5546
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Fax |
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Provider Business Mailing Address
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Address Line | 6400 ZIEGLER LN
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City | CHARLOTTE
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State | NC
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Zip | 28269-3300
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | KAREEM SHAW
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Credential |
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Telephone | 704-769-5546
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 320800000X
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Taxonomy Name | Mental Illness Community Based Residential Treatment Facility
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License Number |
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License Number State |
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