Organization
SAFE HAVEN RECOVERY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KELI KORNMILLER (SENIOR CREDENTIALING SPECIALIST)
(561) 672-8345
Entity
Organization
Contact information
Practice address
540 NW 165TH ST STE 310, MIAMI, FL 33169-6304
(305) 956-7823
(305) 956-7825
Mailing address
540 NW 165TH ST STE 310, MIAMI, FL 33169-6304
(305) 956-7823
(305) 956-7825
Taxonomy
Speciality
Code
Description
License number
State
261QR0800X
Recovery Care Clinic/Center
Primary
—
—
324500000X
Substance Abuse Rehabilitation Facility
1113AD526501
FL
Other
Enumeration date
01/04/2016
Last updated
01/11/2016
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