| Safe Haven Therapeutic Services, Llc | |
|
6572 Elderberry Ct Elkridge MD 21075-6485 | |
| (301) 437-0485 | |
| Not Available |
| Full Name | Safe Haven Therapeutic Services, Llc |
|---|---|
| Speciality | Social Worker |
| Location | 6572 Elderberry Ct, Elkridge, Maryland |
| Authorized Official Name and Position | Juliana Bot Salau (CLINICAL SOCIAL WORKER) |
| Authorized Official Contact | 3014370485 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Safe Haven Therapeutic Services, Llc 6572 Elderberry Ct Elkridge MD 21075-6485 Ph: (301) 437-0485 | Safe Haven Therapeutic Services, Llc 6572 Elderberry Ct Elkridge MD 21075-6485 Ph: (301) 437-0485 |
| NPI Number | 1629686274 |
|---|---|
| Provider Enumeration Date | 07/20/2020 |
| Last Update Date | 07/20/2020 |
| Certification Date | 07/20/2020 |
| Medicare PECOS PAC ID | 5395161509 |
|---|---|
| Medicare Enrollment ID | O20200819000821 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629686274 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Juliana Bot Salau |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1124660253 PECOS PAC ID: 7315372083 Enrollment ID: I20200819000809 |
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