| Safehaus Inc | |
|
26803 Ryan Rd Warren MI 48091-4075 | |
| (586) 477-7472 | |
| (586) 262-1011 |
| 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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