Provider Demographics
NPI:1659147080
Name:SAFE HAVEN COMMUNITY SERVICES INC
Entity Type:Organization
Organization Name:SAFE HAVEN COMMUNITY SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COOWNER
Authorized Official - Prefix:
Authorized Official - First Name:ADETUTU
Authorized Official - Middle Name:BOLAJI
Authorized Official - Last Name:AWODIPE
Authorized Official - Suffix:
Authorized Official - Credentials:MS
Authorized Official - Phone:410-399-4240
Mailing Address - Street 1:4218 SUMMER SHADE WAY
Mailing Address - Street 2:
Mailing Address - City:OWINGS MILLS
Mailing Address - State:MD
Mailing Address - Zip Code:21117-4872
Mailing Address - Country:US
Mailing Address - Phone:410-399-4240
Mailing Address - Fax:
Practice Address - Street 1:1045 TAYLOR AVE STE 44A
Practice Address - Street 2:
Practice Address - City:TOWSON
Practice Address - State:MD
Practice Address - Zip Code:21286-8328
Practice Address - Country:US
Practice Address - Phone:410-399-4240
Practice Address - Fax:410-381-0216
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-11-27
Last Update Date:2023-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320900000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities