| Safe Haven Behavioral Center Llc | |
|
6187 Nw 167th St Ste H26 Miami Gardens FL 33015-4366 | |
| (305) 705-5666 | |
| (305) 402-6101 |
| Full Name | Safe Haven Behavioral Center Llc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 6187 Nw 167th St Ste H26, Miami Gardens, Florida |
| Authorized Official Name and Position | Luis Ledesma (OWNER/ADMINISTRATOR) |
| Authorized Official Contact | 3053359627 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Safe Haven Behavioral Center Llc 7382 Nw 35th Ter Unit 106 Miami FL 33122-1241 Ph: (305) 705-5666 | Safe Haven Behavioral Center Llc 6187 Nw 167th St Ste H26 Miami Gardens FL 33015-4366 Ph: (305) 705-5666 |
| NPI Number | 1619549755 |
|---|---|
| Provider Enumeration Date | 07/16/2021 |
| Last Update Date | 09/19/2024 |
| Certification Date | 09/19/2024 |
| Medicare PECOS PAC ID | 5890104541 |
|---|---|
| Medicare Enrollment ID | O20230731000765 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619549755 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Secondary |
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