Organization
SAFE HAVEN HOUSE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SANDY STALEY WHITE (DIRECTOR)
(336) 685-4484
Entity
Organization
Contact information
Practice address
4250 OLD JULIAN RD, BOX 323, JULIAN, NC 27283-9217
(336) 685-4484
(336) 685-0144
Mailing address
4250 OLD JULIAN RD, PO BOX 323, JULIAN, NC 27283-9217
(336) 685-4484
(336) 685-0144
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
MHL-041-810
NC
Other
Enumeration date
04/16/2007
Last updated
05/14/2008
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