| A Safe Haven | |
|
16201 Las Alturas Dr Spc 5 Vado NM 88072-7217 | |
| (575) 405-1609 | |
| Not Available |
| Full Name | A Safe Haven |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 16201 Las Alturas Dr Spc 5, Vado, New Mexico |
| Authorized Official Name and Position | Hoyden D Callaway (MENTAL HEALTH THERAPIST) |
| Authorized Official Contact | 5754051609 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| A Safe Haven Po Box 2208 Anthony NM 88021-2208 Ph: (575) 405-1609 | A Safe Haven 16201 Las Alturas Dr Spc 5 Vado NM 88072-7217 Ph: (575) 405-1609 |
| NPI Number | 1972014793 |
|---|---|
| Provider Enumeration Date | 10/19/2017 |
| Last Update Date | 10/19/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972014793 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 0185451 (New Mexico) | Primary |