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General NPI Number Information
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NPI Number | 1164302816
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Entity Type | Organization
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Legal Business Name | SAFE HAVEN CENTER
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Dates
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Enumeration Date | 09/04/2025
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Last Update Date | 09/04/2025
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Provider Practice Location Address
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Address Line | 340 CALBRAD RD
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City | ROCKY MOUNT
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State | NC
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Zip | 27801-8184
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Country | US
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Telephone | 252-314-7586
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Fax | 252-314-7586
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Provider Business Mailing Address
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Address Line | 340 CALBRAD RD
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City | ROCKY MOUNT
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State | NC
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Zip | 27801-8184
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Country | US
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Telephone | 252-314-7586
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Fax | 252-314-7586
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Authorized Official
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Title or Position | OWNER
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Name | MS. AMANDA LYNN BROWN
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Credential | CADC
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Telephone | 252-314-7586
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 172V00000X
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Taxonomy Name | Community Health Worker
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number |
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License Number State |
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