Provider Demographics
NPI:1417604075
Name:SWEET DREAMS SAFE HAVEN, INC.
Entity Type:Organization
Organization Name:SWEET DREAMS SAFE HAVEN, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LATOYRIA
Authorized Official - Middle Name:
Authorized Official - Last Name:DJANIE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:484-366-9871
Mailing Address - Street 1:608 W SCHUYLKILL RD APT 332
Mailing Address - Street 2:
Mailing Address - City:POTTSTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:19465-9622
Mailing Address - Country:US
Mailing Address - Phone:484-366-9871
Mailing Address - Fax:
Practice Address - Street 1:608 W SCHUYLKILL RD APT 332
Practice Address - Street 2:
Practice Address - City:POTTSTOWN
Practice Address - State:PA
Practice Address - Zip Code:19465-9622
Practice Address - Country:US
Practice Address - Phone:484-366-9871
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-03-03
Last Update Date:2022-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)
No251S00000XAgenciesCommunity/Behavioral Health