# SAFE HAVEN RECOVERY INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1134585433
- **Authorized official:** KELI KORNMILLER (SENIOR CREDENTIALING SPECIALIST)
- **Authorized official phone:** (561) 672-8345

## Contact information

- **Practice address:** 540 NW 165TH ST STE 310, MIAMI, FL 33169-6304
- **Practice address phone:** (305) 956-7823
- **Practice address fax:** (305) 956-7825
- **Mailing address:** 540 NW 165TH ST STE 310, MIAMI, FL 33169-6304
- **Mailing address phone:** (305) 956-7823
- **Mailing address fax:** (305) 956-7825

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR0800X | Recovery Care Clinic/Center | — | NULL | Yes |
| 324500000X | Substance Abuse Rehabilitation Facility | 1113AD526501 | FL | — |

## Other

- **Enumeration date:** 01/04/2016
- **Last updated:** 01/11/2016