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General NPI Number Information
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NPI Number | 1396614475
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Entity Type | Organization
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Legal Business Name | SAFE HAVEN BEHAVIORAL HEALTH
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Dates
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Enumeration Date | 11/05/2025
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Last Update Date | 12/13/2025
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Provider Practice Location Address
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Address Line | 983 TOWNLEY AVE
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City | UNION
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State | NJ
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Zip | 07083-7562
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Country | US
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Telephone | 973-289-0420
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Fax |
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Provider Business Mailing Address
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Address Line | 983 TOWNLEY AVE
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City | UNION
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State | NJ
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Zip | 07083-7562
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Country | US
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Telephone | 973-834-0093
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Fax | 973-834-6522
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Authorized Official
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Title or Position | CEO
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Name | CHINOMSO KEVIN NWANKWO
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Credential | APN
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Telephone | 973-834-0093
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number |
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License Number State |
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