Safe Harbour

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

SAFE HARBOUR

Practice address

13 East Dr
Jacksonville, NC 28546-8214

Phone

(910) 265-4666

NPI assigned

May 13, 2008

Organization subpart

No

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

Authorized official

Name

Mrs. Charise Kimberly Frasier, BHS/QP

Title

President/Clinical Director

Phone

(910) 265-4666

Specialties & licenses 5

Addresses

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

{
    "created_epoch": "1210636800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210636800000",
    "number": "1689841298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13 EAST DR",
            "city": "JACKSONVILLE",
            "state": "NC",
            "postal_code": "285468214",
            "telephone_number": "910-265-4666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13 EAST DR",
            "city": "JACKSONVILLE",
            "state": "NC",
            "postal_code": "285468214",
            "telephone_number": "910-265-4666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAFE HARBOUR",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-13",
        "last_updated": "2008-05-13",
        "status": "A",
        "authorized_official_last_name": "FRASIER",
        "authorized_official_first_name": "CHARISE",
        "authorized_official_middle_name": "KIMBERLY",
        "authorized_official_title_or_position": "PRESIDENT/CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "910-265-4666",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "BHS/QP"
    },
    "taxonomies": [
        {
            "code": "261QD1600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susan L. Rutherford, MSW, LCSW
• Ryan and Family LLC
• Erin M Ryan, DPT
• Timothy Thomas Ryan, PHARMD
• Amy Saey
• Safe Landing Wellness Center, PLLC
• Travis Lawson Safley, MD
• Jessica Rae Sahagun, LCSW-A
• Alicia Sakran
• Christian Salcedo

• Mental Health Clinic/Center (Including Community Mental Health Center) in Jacksonville, NC
• Providers in Jacksonville, NC by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2008; 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.