| Safehaven International, Llc | |
|
233 Lagrange Ave Rochester NY 14613-1562 | |
| (585) 752-3127 | |
| (877) 843-5794 |
| Full Name | Safehaven International, Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 233 Lagrange Ave, Rochester, New York |
| Authorized Official Name and Position | La Carla Denise Holmes (CEO) |
| Authorized Official Contact | 5857523127 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Safehaven International, Llc 233 Lagrange Ave Rochester NY 14613-1562 Ph: (585) 752-3127 | Safehaven International, Llc 233 Lagrange Ave Rochester NY 14613-1562 Ph: (585) 752-3127 |
| NPI Number | 1841988292 |
|---|---|
| Provider Enumeration Date | 04/25/2023 |
| Last Update Date | 04/25/2023 |
| Certification Date | 04/25/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841988292 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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