Provider Demographics
NPI:1386534121
Name:SAFE HAVEN INTEGRATED WELLNESS CENTER LLC
Entity type:Organization
Organization Name:SAFE HAVEN INTEGRATED WELLNESS CENTER LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:MARY
Authorized Official - Middle Name:W
Authorized Official - Last Name:MURANJA
Authorized Official - Suffix:
Authorized Official - Credentials:DNP
Authorized Official - Phone:678-904-2450
Mailing Address - Street 1:11022 N 28TH DR STE 190
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85029-5633
Mailing Address - Country:US
Mailing Address - Phone:678-904-2450
Mailing Address - Fax:
Practice Address - Street 1:11022 N 28TH DR STE 190
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85029-5633
Practice Address - Country:US
Practice Address - Phone:678-904-2450
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-07-03
Last Update Date:2025-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TP2701XBehavioral Health & Social Service ProvidersPsychologistGroup PsychotherapyGroup - Multi-Specialty
No261Q00000XAmbulatory Health Care FacilitiesClinic/Center
No273R00000XHospital UnitsPsychiatric Unit
No323P00000XResidential Treatment FacilitiesPsychiatric Residential Treatment Facility