Organization
SAFE HARBOR BEHAVIORAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL LEE (CEO)
(623) 213-5356
Entity
Organization
Contact information
Practice address
1816 W MAGDALENA LN, PHOENIX, AZ 85041-7815
(623) 213-5356
Mailing address
1816 W MAGDALENA LN, PHOENIX, AZ 85041-7815
(623) 213-5356
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
103TC1900X
Counseling Psychologist
—
—
163WC0400X
Case Management Registered Nurse
—
—
163WP0807X
Child & Adolescent Psychiatric/Mental Health Registered Nurse
—
—
2084P0800X
Psychiatry Physician
—
—
2084P0802X
Addiction Psychiatry Physician
—
—
2084P0804X
Child & Adolescent Psychiatry Physician
—
—
2084P0805X
Geriatric Psychiatry Physician
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
323P00000X
Psychiatric Residential Treatment Facility
—
—
324500000X
Substance Abuse Rehabilitation Facility
—
—
Other
Enumeration date
09/24/2019
Last updated
09/24/2019
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