Organization
SAFE HAVEN GROUP HOME, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. THEDA NIGEL GRIFFIN (EXECUTIVE DIRECTOR)
(720) 585-8021
Entity
Organization
Contact information
Practice address
5903 N NORFOLK AVE, TULSA, OK 74126-2323
(918) 779-4263
Mailing address
5903 N NORFOLK AVE, TULSA, OK 74126-2323
(918) 779-4263
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
03/23/2019
Last updated
03/23/2019
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