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General NPI Number Information
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NPI Number | 1558227868
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Entity Type | Organization
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Legal Business Name | A SAFE HAVEN WELLNESS & PRIMARY CARE
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Dates
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Enumeration Date | 12/30/2025
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Last Update Date | 01/01/2026
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Provider Practice Location Address
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Address Line | 8813 LOVE FIELD CT
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City | WILLOW SPRING
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State | NC
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Zip | 27592-8664
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Country | US
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Telephone | 919-400-7863
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Fax | 919-290-4754
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Provider Business Mailing Address
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Address Line | 100 HICKORY TREE LN
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City | ANGIER
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State | NC
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Zip | 27501-7716
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Country | US
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Telephone | 919-400-7863
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Fax | 919-290-4754
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Authorized Official
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Title or Position | OWNER
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Name | MR. TREVOR A ULRICH
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Credential |
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Telephone | 919-400-7863
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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