Organization
SAFE HEAD SPACE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEISHA FERREIRA LCAS (EXECUTIVE DIRECTOR)
(252) 452-1661
Entity
Organization
Contact information
Practice address
309 E SAINT JOHN ST, TARBORO, NC 27886-4413
(919) 299-0944
Mailing address
1007 EAST AVE, TARBORO, NC 27886-3239
(919) 299-0944
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
Other
Enumeration date
07/01/2025
Last updated
07/01/2025
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