| Urban Safe Haven | |
|
2202 Juliet Pl Apt 102 Greensboro NC 27406-5684 | |
| (704) 213-3325 | |
| Not Available |
| Full Name | Urban Safe Haven |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 2202 Juliet Pl Apt 102, Greensboro, North Carolina |
| Authorized Official Name and Position | Amaya Ricks (OWNER) |
| Authorized Official Contact | 7042133325 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Urban Safe Haven 2202 Juliet Pl Apt 102 Greensboro NC 27406-5684 Ph: () - | Urban Safe Haven 2202 Juliet Pl Apt 102 Greensboro NC 27406-5684 Ph: (704) 213-3325 |
| NPI Number | 1487986279 |
|---|---|
| Provider Enumeration Date | 02/04/2010 |
| Last Update Date | 02/04/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487986279 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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