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Organization
SAFEHAUS INC
Active
Organization
SAFEHAUS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROMAN JOHN KOLODCHIN PHD (CEO)
(586) 806-4678
Entity
Organization
Contact information
Practice address
21056 DEAN ST, WARREN, MI 48091-2760
(586) 806-4678
(313) 454-8447
Mailing address
21056 DEAN ST, WARREN, MI 48091-2760
(586) 806-4678
(313) 454-8447
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
323P00000X
Psychiatric Residential Treatment Facility
Primary
CM500297574
MI
Other
Enumeration date
03/30/2009
Last updated
02/11/2011
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