A Safe Haven, L.L.C.
Organization Active NPI Substance Use Disorder Rehabilitation Clinic/Center · Chicago, IL
NPI 1982391645 · NPPES record last updated Apr 21, 2023
Key facts
- NPI
- 1982391645
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X
- Legal business name
- A SAFE HAVEN, L.L.C.
- Practice address
- 7342 S Kingston Ave
Chicago, IL 60649-3428 - Phone
- (312) 372-6707
- NPI assigned
- Apr 21, 2023
- Organization subpart
- No
Authorized official
- Name
- Melanie Dzado
- Title
- Insurance Biller
- Phone
- (312) 372-6707
Corporate family (same tax ID) 10
National Provider Directory
- Tax ID family
- A Safe Haven LLC
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Substance Use Disorder Rehabilitation Clinic/Center | 261QR0405X | Yes |
Addresses
Primary practice location
7342 S Kingston Ave
Chicago, IL 60649-3428
Mailing address
15507 Cicero Ave Ste 200
Oak Forest, IL 60452-3633
Phone (312) 372-6707
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 21, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.