Provider Demographics
NPI:1467331009
Name:SAFEHOUSE INTEGRATED SERVICES, LLC
Entity type:Organization
Organization Name:SAFEHOUSE INTEGRATED SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LEON
Authorized Official - Middle Name:
Authorized Official - Last Name:BRUSH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:304-763-7655
Mailing Address - Street 1:PO BOX 1122
Mailing Address - Street 2:
Mailing Address - City:BECKLEY
Mailing Address - State:WV
Mailing Address - Zip Code:25802-1122
Mailing Address - Country:US
Mailing Address - Phone:304-763-7655
Mailing Address - Fax:866-514-3292
Practice Address - Street 1:376 DEARING DR
Practice Address - Street 2:
Practice Address - City:MOUNT HOPE
Practice Address - State:WV
Practice Address - Zip Code:25880
Practice Address - Country:US
Practice Address - Phone:304-763-7655
Practice Address - Fax:866-514-3292
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-08-28
Last Update Date:2025-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health