Organization
SAFE HAVEN HOUSE INC
Active
Other names
Level Up Community Service Program LLC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DEBORAH SILLS PHD LCSW (CEO)
(678) 849-0505
Entity
Organization
Contact information
Practice address
6754 GREY ROCK WAY, LITHONIA, GA 30058
(678) 849-0505
Mailing address
PO BOX 784, LITHONIA, GA 30058
(678) 849-0505
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
11/19/2014
Last updated
11/19/2014
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