SAFE HAVEN HOUSE LLC NPI 1194940957

NPI Information

SAFE HAVEN HOUSE LLC is a residential treatment facility emotionally disturbed children in Julian, NC. The provider is a residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently. SAFE HAVEN HOUSE LLC NPI is 1194940957. The provider is registered as an organization entity type.

The provider's business location address is:

4250 OLD JULIAN RD
BOX 323
JULIAN, NC
ZIP 27283-217
Phone: (336) 685-4484
Fax: (336) 685-0144

The provider's authorized official is Sandy Staley White .
The authorized official title is Director and has the following contact phone number (336) 685-4484.

The enumeration date for this NPI number is 4/16/2007 and was last updated on 5/14/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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