Organization Name: | SAFE HAVEN HEALTH CARE LLC |
NPI Number: | 1619208709 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | LYNNE POTTS (VICE PRESIDENT OF FINANCE) |
Mailing Address: | 1200 Hospital Way Pocatello |
State: | ID US |
Postal Code: | 832012708 |
Phone Number: | 2082444450 |
Fax Number: | 8888158472 |
NPI Enumeration Date: | 01/29/2010 |
NPI Last Update Date: | 06/05/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 283Q00000X |
License Number: | 59 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | ID |
Taxonomy Type: | Hospitals |
Taxonomy Classification: | Psychiatric Hospital |
Taxonomy Specialization: | |
Taxonomy Definition: | An organization including a physical plant and personnel that provides multidisciplinary diagnostic and treatment mental health services to patients requiring the safety, security, and shelter of the inpatient or partial hospitalization settings. |