Provider Demographics
NPI:1730987041
Name:SAFE HAVEN RECOVERY ENGAGEMENT CENTER
Entity type:Organization
Organization Name:SAFE HAVEN RECOVERY ENGAGEMENT CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:
Authorized Official - First Name:BRITTANY
Authorized Official - Middle Name:
Authorized Official - Last Name:STOUT
Authorized Official - Suffix:
Authorized Official - Credentials:FNP
Authorized Official - Phone:812-653-8244
Mailing Address - Street 1:308 S OAK ST
Mailing Address - Street 2:
Mailing Address - City:PAOLI
Mailing Address - State:IN
Mailing Address - Zip Code:47454-1134
Mailing Address - Country:US
Mailing Address - Phone:812-203-2230
Mailing Address - Fax:812-203-2231
Practice Address - Street 1:308 S OAK ST
Practice Address - Street 2:
Practice Address - City:PAOLI
Practice Address - State:IN
Practice Address - Zip Code:47454-1134
Practice Address - Country:US
Practice Address - Phone:812-203-2230
Practice Address - Fax:812-203-2231
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-03-04
Last Update Date:2025-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251V00000XAgenciesVoluntary or Charitable