Organization
SAFE HOUSE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RONALD JOHNSON MBA, QMHP-A/C, QIDP (CEO)
(804) 510-4920
Entity
Organization
Contact information
Practice address
9401 HULL STREET RD, NORTH CHESTERFIELD, VA 23236-1422
(804) 510-4920
(804) 362-3962
Mailing address
9401 HULL STREET RD, NORTH CHESTERFIELD, VA 23236-1422
(804) 510-4920
(804) 362-3962
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
09/15/2023
Last updated
10/17/2023
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