Organization
SAFE-HAVEN HOUSE II, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SANDY WHITE (DIRECTOR)
(336) 685-4484
Entity
Organization
Contact information
Practice address
4202 OLD LIBERTY PLACE, SAFE-HAVEN HOUSE II, LLC, GREENSBORO, NC 27406-7218
(336) 685-4484
(336) 685-0144
Mailing address
4202 OLD LIBERTY PLACE, SAFE-HAVEN HOUSE II, LLC, GREENSBORO, NC 27406-7218
(336) 685-4484
(336) 685-0144
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
—
—
Other
Enumeration date
05/18/2009
Last updated
05/18/2009
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