# SAFE HAVEN COMMUNITY LIVING

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Safe Haven
- **Organization subpart:** No

## Provider details

- **NPI number:** 1841730884
- **Authorized official:** MR. GEOFFREY KEVIN BRUNO (OWNER)
- **Authorized official phone:** (832) 856-0414

## Contact information

- **Practice address:** 1226 W GRAND PKWY S, APT 1229, KATY, TX 77494-8442
- **Practice address phone:** (210) 563-0768
- **Mailing address:** 1226 W GRAND PKWY S, APT 1229, KATY, TX 77494-8442
- **Mailing address phone:** (210) 563-0768

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 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 | — | NULL | Yes |
| 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