Organization
SAFE HAVEN THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TRISTAR MBC (MANAGER)
(386) 703-9084
Entity
Organization
Contact information
Practice address
420 ST JOHN, THAYER, MO 65791-8500
(800) 000-0000
Mailing address
420 ST JOHN, THAYER, MO 65791-8500
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
09/01/2023
Last updated
11/03/2023
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