Organization
A SAFE HAVEN, L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MELANIE DZADO (REVENUE CYCLE MANAGER)
(312) 372-6707
Entity
Organization
Contact information
Practice address
17 N STATE ST STE 210, CHICAGO, IL 60602-3560
(312) 372-6707
Mailing address
15507 CICERO AVE STE 200, OAK FOREST, IL 60452-3633
(312) 372-6707
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
11/04/2024
Last updated
11/04/2024
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