Organization
OUR SAFEHAVEN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CRYSTAL CAMPBELL (ADMINISTRATOR)
(510) 690-1330
Entity
Organization
Contact information
Practice address
4537 EDWARDS LANE, CASTRO VALLEY, CA 94546-4734
(510) 690-1330
(510) 690-1331
Mailing address
PO BOX 2061, CASTRO VALLEY, CA 94546-0061
(510) 690-1330
(510) 690-1331
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
03/18/2021
Last updated
06/12/2024
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