Organization
SAFE HAVEN FOR CHANGE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIARA TALLEY (EXECUTIVE DIRECTOR)
(937) 572-7064
Entity
Organization
Contact information
Practice address
1021 OLD ORCHARD AVE, DAYTON, OH 45405-4344
(937) 572-7064
Mailing address
1021 OLD ORCHARD AVE, DAYTON, OH 45405-4344
(937) 572-7064
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
05/20/2025
Last updated
05/20/2025
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