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SAFE HARBOR HAVEN INC. NPI 1578807400


NPI Information

NPI: 1578807400
Provider Name: SAFE HARBOR HAVEN INC.

Doing Business As: SAFE HARBOR BOYS HOME

Classification: Counselor - 101YM0800X
Entity Type: Organization

Specialization: Mental Health

Address:
4772 SAFE HARBOR WAY
JACKSONVILLE, FL
ZIP 32226
Phone: (904) 757-7918
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SAFE HARBOR HAVEN INC. is a mental health counselor in Jacksonville, FL. SAFE HARBOR HAVEN INC. NPI is 1578807400. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Safe Harbor Boys Home.

The provider's business location address is:

4772 SAFE HARBOR WAY
JACKSONVILLE, FL
ZIP 32226-024
Phone: (904) 757-7918
Fax: (904) 757-2504

The provider's authorized official is Robbie Smith .
The authorized official title is Clinical Director and has the following contact phone number (904) 757-7918.

The enumeration date for this NPI number is 11/15/2012 and was last updated on 11/15/2012.


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:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1101YM0800XCounselorMental HealthMH5256FLORIDAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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