Provider Demographics
NPI:1033810841
Name:THE SAFE CENTER LI INC
Entity Type:Organization
Organization Name:THE SAFE CENTER LI INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:JOSHUA
Authorized Official - Middle Name:
Authorized Official - Last Name:HANSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:516-465-4700
Mailing Address - Street 1:15 GRUMMAN RD W
Mailing Address - Street 2:STE 1000
Mailing Address - City:BETHPAGE
Mailing Address - State:NY
Mailing Address - Zip Code:11714-5028
Mailing Address - Country:US
Mailing Address - Phone:516-465-4700
Mailing Address - Fax:
Practice Address - Street 1:15 GRUMMAN RD W
Practice Address - Street 2:STE 1000
Practice Address - City:BETHPAGE
Practice Address - State:NY
Practice Address - Zip Code:11714-5028
Practice Address - Country:US
Practice Address - Phone:516-465-4700
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-03-17
Last Update Date:2024-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center