Organization
TJ'S SAFE HAVEN LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. THOMAS DALE BONO (CEO/PRESIDENT)
(719) 660-4757
Entity
Organization
Contact information
Practice address
4104 TENNYSON AVE, COLORADO SPRINGS, CO 80910-2536
(719) 660-4757
Mailing address
4104 TENNYSON AVE, COLORADO SPRINGS, CO 80910-2536
(719) 660-4757
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
—
—
Other
Enumeration date
06/15/2016
Last updated
06/15/2016
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