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Organization
SAFE HAVEN COMMUNITY LIVING
Active
Organization
SAFE HAVEN COMMUNITY LIVING
Active
Other names
Safe Haven
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GEOFFREY KEVIN BRUNO (OWNER)
(832) 856-0414
Entity
Organization
Contact information
Practice address
1226 W GRAND PKWY S, APT 1229, KATY, TX 77494-8442
(210) 563-0768
Mailing address
1226 W GRAND PKWY S, APT 1229, KATY, TX 77494-8442
(210) 563-0768
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
—
NULL
251S00000X
Community/Behavioral Health Agency
—
NULL
253Z00000X
In Home Supportive Care Agency
—
NULL
302R00000X
Health Maintenance Organization
—
NULL
3104A0625X
Assisted Living Facility (Mental Illness)
—
NULL
3104A0630X
Assisted Living Facility (Behavioral Disturbances)
—
NULL
311Z00000X
Custodial Care Facility
—
NULL
311ZA0620X
Adult Care Home Facility
—
NULL
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
NULL
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
—
NULL
343900000X
Non-emergency Medical Transport (VAN)
—
NULL
347C00000X
Private Vehicle
—
NULL
385HR2055X
Child Mental Illness Respite Care
—
NULL
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
—
NULL
385HR2065X
Child Physical Disabilities Respite Care
—
NULL
Other
Enumeration date
02/23/2017
Last updated
02/23/2017
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