National Provider Identifier

Safehaven International, LLC

Safehaven International, LLC is listed in the NPPES registry with a primary specialty of Mental Health Clinic/Center (Including Community Mental Health Center) in Rochester, NY and a listed phone number of (585) 752-3127.

NPI 1841988292Rochester, NYMental Health Clinic/Center (Including Community Mental Health Center)

Profile Overview

NPI
1841988292
Provider Type
Organization
Primary Specialty
Mental Health Clinic/Center (Including Community Mental Health Center)
Enumeration Date
April 25, 2023
Last Updated
April 25, 2023

Practice Location

  • 233 Lagrange Ave
  • Rochester, NY 14613-1562

Phone: (585) 752-3127

Specialties

  • Mental Health Clinic/Center (Including Community Mental Health Center) (261QM0801X)
Full Record
NPI
1841988292
Entity Type
Organization
EIN
<UNAVAIL>
Organization Name
Safehaven International, LLC
Mailing Street Address
233 Lagrange Ave
Mailing City
Rochester
Mailing State
NY
Mailing ZIP Code
14613-1562
Mailing Country
US
Mailing Phone
(585) 752-3127
Mailing Fax
(877) 843-5794
Practice Street Address
233 Lagrange Ave
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14613-1562
Practice Country
US
Practice Phone
(585) 752-3127
Practice Fax
(877) 843-5794
Enumeration Date
April 25, 2023
Last Updated
April 25, 2023
Authorized Official Last Name
Holmes
Authorized Official First Name
La Carla
Authorized Official Middle Name
Denise
Authorized Official Title
CEO
Authorized Official Phone
(585) 752-3127
Organization Subpart
No
Authorized Official Credential Text
PMHNP
Certification Date
April 25, 2023
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Mental Health Clinic/Center (Including Community Mental Health Center) (261QM0801X)