Healthcare Provider Details

I. General information

NPI: 1164302816
Provider Name (Legal Business Name): SAFE HAVEN CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/04/2025
Last Update Date: 09/04/2025
Certification Date: 09/04/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

340 CALBRAD RD
ROCKY MOUNT NC
27801-8184
US

IV. Provider business mailing address

340 CALBRAD RD
ROCKY MOUNT NC
27801-8184
US

V. Phone/Fax

Practice location:
  • Phone: 252-314-7586
  • Fax: 252-314-7586
Mailing address:
  • Phone: 252-314-7586
  • Fax: 252-314-7586

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code172V00000X
TaxonomyCommunity Health Worker
License Number
License Number State

VIII. Authorized Official

Name: MS. AMANDA LYNN BROWN
Title or Position: OWNER
Credential: CADC
Phone: 252-314-7586