Organization
SAFE SOCIAL SPACE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LATIA D SHEPPARD-WILSON MS (CEO)
(267) 944-6823
Entity
Organization
Contact information
Practice address
500 OFFICE CENTER DR STE 400, FORT WASHINGTON, PA 19034-3234
(267) 944-3587
(215) 940-9743
Mailing address
500 OFFICE CENTER DR STE 400, FORT WASHINGTON, PA 19034-3234
(267) 944-3587
(215) 940-9743
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
11/11/2025
Last updated
11/11/2025
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