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General NPI Number Information
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NPI Number | 1386534121
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Entity Type | Organization
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Legal Business Name | SAFE HAVEN INTEGRATED WELLNESS CENTER LLC
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Dates
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Enumeration Date | 07/03/2025
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Last Update Date | 07/03/2025
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Provider Practice Location Address
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Address Line | 11022 N 28TH DR STE 190
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City | PHOENIX
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State | AZ
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Zip | 85029-5633
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Country | US
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Telephone | 678-904-2450
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Fax |
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Provider Business Mailing Address
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Address Line | 11022 N 28TH DR STE 190
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City | PHOENIX
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State | AZ
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Zip | 85029-5633
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Country | US
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Telephone | 678-904-2450
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Fax |
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Authorized Official
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Title or Position | MEDICAL DIRECTOR
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Name | DR. MARY W MURANJA
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Credential | DNP
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Telephone | 678-904-2450
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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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 | 273R00000X
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Taxonomy Name | Psychiatric Hospital Unit
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 323P00000X
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Taxonomy Name | Psychiatric Residential Treatment Facility
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 103TP2701X
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Taxonomy Name | Group Psychotherapy Psychologist
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License Number |
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License Number State |
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