Organization
SAFE HAVEN TRANSITIONAL YOUTH SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHANI KATANGA TAYLOR (PROGRAM MANAGER/OWNER)
(804) 433-8780
Entity
Organization
Contact information
Practice address
3021 MACALLAN PKWY, HENRICO, VA 23231-7269
(804) 795-5976
Mailing address
3021 MACALLAN PKWY, HENRICO, VA 23231-7269
(804) 795-5976
Taxonomy
Speciality
Code
Description
License number
State
323P00000X
Psychiatric Residential Treatment Facility
Primary
CRF474
VA
Other
Enumeration date
11/14/2016
Last updated
12/06/2016
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