Organization
SAFE HAVEN GROUP HOME LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHONA BROWN (CO-OWNER/MEMBER)
(412) 923-9464
Entity
Organization
Contact information
Practice address
107 CASTLE DR, PENN HILLS, PA 15235-1855
(412) 923-9464
Mailing address
107 CASTLE DR, PENN HILLS, PA 15235-1855
(412) 923-9464
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
—
PA
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
10/31/2016
Last updated
10/31/2016
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