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General NPI Number Information
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NPI Number | 1730703828
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Entity Type | Organization
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Legal Business Name | THE SAFE HAVEN BEHAVIORAL HEALTH
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Dates
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Enumeration Date | 06/03/2020
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Last Update Date | 06/03/2020
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Provider Practice Location Address
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Address Line | 2145 N JOSEY LN STE 116-106
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City | CARROLLTON
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State | TX
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Zip | 75006-2992
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Country | US
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Telephone | 337-517-5499
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Fax |
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Provider Business Mailing Address
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Address Line | 2145 N JOSEY LN STE 116-106
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City | CARROLLTON
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State | TX
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Zip | 75006-2992
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Country | US
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Telephone | 337-517-5499
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Fax |
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Authorized Official
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Title or Position | CEO AND EXECUTIVE DIRECTOR
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Name | MISS D'ASYA WEST
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Credential | MHA
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Telephone | 337-517-5499
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 374U00000X
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Taxonomy Name | Home Health Aide
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License Number |
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License Number State |
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