Provider Demographics
NPI:1902058191
Name:SAFE-HAVEN DAY TREATMENT
Entity Type:Organization
Organization Name:SAFE-HAVEN DAY TREATMENT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:VELMA
Authorized Official - Middle Name:LOWERY
Authorized Official - Last Name:CARTER
Authorized Official - Suffix:
Authorized Official - Credentials:BA
Authorized Official - Phone:910-258-5843
Mailing Address - Street 1:2240 S. DUFFIE RD
Mailing Address - Street 2:
Mailing Address - City:RED SPRINGS
Mailing Address - State:NC
Mailing Address - Zip Code:28377-2240
Mailing Address - Country:US
Mailing Address - Phone:910-843-1595
Mailing Address - Fax:910-845-1576
Practice Address - Street 1:2240 SOUTH. DUFFIE RD
Practice Address - Street 2:2240 SOUTH DUFFIE RD
Practice Address - City:RED SPRINGS
Practice Address - State:NC
Practice Address - Zip Code:28377-2240
Practice Address - Country:US
Practice Address - Phone:910-843-1595
Practice Address - Fax:910-843-1576
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:CROSSROADS ASSOCIATES,LLP
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2008-10-21
Last Update Date:2009-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0855XAmbulatory Health Care FacilitiesClinic/CenterAdolescent and Children Mental Health