Organization
SAFE HAVEN CARE AND FAMILY SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS JAMILA MONIQUE GILLIAM LBSW (DIRECTOR)
(469) 275-2274
Entity
Organization
Contact information
Practice address
2401 STOCKBRIDGE RD, 12108, DENTON, TX 76208-6187
(469) 275-2274
Mailing address
PO BOX 793522, DALLAS, TX 75379-3522
(469) 275-2274
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
56214
TX
Other
Enumeration date
07/05/2012
Last updated
07/05/2012
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