OrganizationActive
Abundance Safe Haven Inc
NPI 1376699819 · Mental Illness Community Based Residential Treatment Facility · Durham, NC
Provider details
- NPI number
- 1376699819
- Entity type
- Organization
- Primary specialty
- Mental Illness Community Based Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Terron Simpson, Executive Director(919) 680-2030
- License
- MHL-032-322 (NC)
Specialties & taxonomies
- Mental Illness Community Based Residential Treatment FacilityPrimary320800000XLicense MHL-032-322 (NC)
Residential Treatment Facilities
Practice location
915 Fiske St
Durham, NC 27703-1615
Phone: (919) 680-2030
Approximate (ZIP-level) locationGet directions
Mailing address
1821 Hillandale Rd
Durham, NC 27705-2659
Registry dates
- Enumerated
- 2007-01-26
- Last updated
- 2008-06-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.