Safe Haven Transitional Youth Services

Primary specialty

Psychiatric Residential Treatment FacilityTaxonomy code 323P00000X

License

CRF474 Issued in VA

Legal business name

SAFE HAVEN TRANSITIONAL YOUTH SERVICES

Practice address

3021 Macallan Pkwy
Henrico, VA 23231-7269

Phone

(804) 795-5976

NPI assigned

Nov 14, 2016

Organization subpart

No

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

Authorized official

Name

Shani Katanga Taylor

Title

Program Manager/Owner

Phone

(804) 433-8780

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1479081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1480982400000",
    "number": "1750823399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3021 MACALLAN PKWY",
            "city": "HENRICO",
            "state": "VA",
            "postal_code": "232317269",
            "telephone_number": "804-795-5976"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3021 MACALLAN PKWY",
            "city": "HENRICO",
            "state": "VA",
            "postal_code": "232317269",
            "telephone_number": "804-795-5976"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAFE HAVEN TRANSITIONAL YOUTH SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-14",
        "last_updated": "2016-12-06",
        "status": "A",
        "authorized_official_last_name": "TAYLOR",
        "authorized_official_first_name": "SHANI",
        "authorized_official_middle_name": "KATANGA",
        "authorized_official_title_or_position": "PROGRAM MANAGER/OWNER",
        "authorized_official_telephone_number": "804-433-8780"
    },
    "taxonomies": [
        {
            "code": "323P00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Residential Treatment Facility",
            "state": "VA",
            "license": "CRF474",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Psychiatric Residential Treatment Facility in Henrico, VA
• Providers in Henrico, VA by specialty
• Psychiatric Residential Treatment Facility in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2016; 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.