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General NPI Number Information
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NPI Number | 1821885237
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Entity Type | Organization
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Legal Business Name | GROWING HEARTS SAFE HAVEN, LLC
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Dates
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Enumeration Date | 04/21/2025
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Last Update Date | 04/21/2025
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Provider Practice Location Address
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Address Line | 1015 MEADOW OAK DR
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City | GREENSBORO
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State | NC
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Zip | 27406-8284
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Country | US
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Telephone | 336-905-9359
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Fax |
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Provider Business Mailing Address
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Address Line | 818 FRATERNITY ROW
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City | KANNAPOLIS
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State | NC
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Zip | 28081-0022
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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 | CO-OWNER
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Name | TORESSA POOLE
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Credential |
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Telephone | 336-705-3195
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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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