| Secure Haven Behavioral Health Care Inc | |
|
3382 Paris Blvd Westerville OH 43081-4260 | |
| (419) 356-5617 | |
| Not Available |
| Full Name | Secure Haven Behavioral Health Care Inc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 3382 Paris Blvd, Westerville, Ohio |
| Authorized Official Name and Position | Jean M Jakovlic (CEO) |
| Authorized Official Contact | 7403486016 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Secure Haven Behavioral Health Care Inc 3382 Paris Blvd Westerville OH 43081-4260 Ph: (419) 356-5617 | Secure Haven Behavioral Health Care Inc 3382 Paris Blvd Westerville OH 43081-4260 Ph: (419) 356-5617 |
| NPI Number | 1871173880 |
|---|---|
| Provider Enumeration Date | 04/13/2021 |
| Last Update Date | 02/06/2024 |
| Certification Date | 02/06/2024 |
| Medicare PECOS PAC ID | 3678939121 |
|---|---|
| Medicare Enrollment ID | O20230525001630 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871173880 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Jessica Dawn Shaffer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1043669179 PECOS PAC ID: 0749537322 Enrollment ID: I20180727002794 |
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