Organization
SAFE HAVEN YOUTH SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHASITY EDWARDS SUDC, NCAC II (EXECUTIVE DIRECTOR)
(435) 429-2683
Entity
Organization
Contact information
Practice address
948 N 1300 W, ST GEORGE, UT 84770-4965
(435) 429-2683
Mailing address
964 S WHITE SANDS DR, WASHINGTON, UT 84780-2023
(435) 429-2683
Taxonomy
Speciality
Code
Description
License number
State
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
350887-6004
CMHC
UT
Enumeration date
05/22/2017
Last updated
06/11/2019
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