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NPI Code Detail

MEDICARE: SAFE-HAVEN DAY TREATMENT

MEDICARE: SAFE-HAVEN DAY TREATMENT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QM0855XAdolescent and Children Mental Health Clinic/Center

General Provider Information

NPI Number : 1902058191
Entity Type Code : Organization
Provider Name (Legal Business Name) : SAFE-HAVEN DAY TREATMENT
Provider Business Mailing Address
First Line : 2240 S. DUFFIE RD
Second Line :
City : RED SPRINGS
State : NC
Zip : 28377-2240
Country : US
Telephone Number : 910-843-1595
Fax Number : 910-845-1576
Provider Business Practice Location Address
First Line : 2240 SOUTH. DUFFIE RD
Second Line : 2240 SOUTH DUFFIE RD
City : RED SPRINGS
State : NC
Zip : 28377-2240
Country : US
Telephone Number : 910-843-1595
Fax Number : 910-843-1576
Authorized Official
Title or Position : CEO
Name : MRS. VELMA LOWERY CARTER
Credential : BA
Telephone Number : 910-258-5843
Provider Enumeration Date : 10/21/2008
Last Update Date : 09/10/2009

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Directions to “SAFE-HAVEN DAY TREATMENT ” Practice Location

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