Urban Safe Haven

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

URBAN SAFE HAVEN

Practice address

2202 Juliet PL Apt 102
Greensboro, NC 27406-5684

Phone

(704) 213-3325

NPI assigned

Feb 4, 2010

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ms. Amaya Ricks

Title

Owner

Phone

(704) 213-3325

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1265241600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1265241600000",
    "number": "1487986279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2202 JULIET PL APT 102",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274065684"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2202 JULIET PL APT 102",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274065684",
            "telephone_number": "704-213-3325"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "URBAN SAFE HAVEN",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-04",
        "last_updated": "2010-02-04",
        "status": "A",
        "authorized_official_last_name": "RICKS",
        "authorized_official_first_name": "AMAYA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "704-213-3325",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Community/Behavioral Health Agency in Greensboro, NC
• Providers in Greensboro, NC by specialty
• Community/Behavioral Health Agency in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.