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General NPI Number Information
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NPI Number | 1477048916
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Entity Type | Organization
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Legal Business Name | SAFEHOUSE MINISTRIES, INC
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Dates
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Enumeration Date | 06/27/2018
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Last Update Date | 07/10/2018
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Provider Practice Location Address
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Address Line | 3164 EASTVIEW DR
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City | YOUNGSTOWN
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State | OH
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Zip | 44505
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Country | US
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Telephone | 330-743-9595
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Fax |
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Provider Business Mailing Address
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Address Line | 3164 EASTVIEW DR
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City | YOUNGSTOWN
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State | OH
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Zip | 44505-4225
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | ADMINISTRATOR/CFO
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Name | MR. TIMOTHY PERKINS JR.
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Credential |
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Telephone | 330-743-9595
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 322D00000X
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Taxonomy Name | Emotionally Disturbed Childrens' Residential Treatment Facility
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License Number |
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License Number State | OH
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