Full Name | Safehaus Inc |
---|---|
Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
Location | 26803 Ryan Rd, Warren, Michigan |
Authorized Official Name and Position | Roman John Kolodchin (CEO) |
Authorized Official Contact | 5864777472 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Safehaus Inc 26803 Ryan Rd Warren MI 48091-4075 Ph: (586) 477-7472 | Safehaus Inc 26803 Ryan Rd Warren MI 48091-4075 Ph: (586) 477-7472 |
NPI Number | 1225755440 |
---|---|
Provider Enumeration Date | 10/27/2022 |
Last Update Date | 01/22/2024 |
Certification Date | 01/22/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1225755440 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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› Verified 3 days ago
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