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Organization

A SAFE HAVEN, L.L.C.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MELANIE DZADO (INSURANCE BILLING AND VERIFICATION)
(312) 372-6707
Entity
Organization

Contact information

Practice address
3857 W POLK ST, CHICAGO, IL 60624-4018
(312) 372-6707
Mailing address
15507 CICERO AVE, OAK FOREST, IL 60452-3629
(312) 372-6707

Taxonomy

Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary

Other

Enumeration date
08/23/2023
Last updated
08/23/2023
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