Provider Demographics
NPI:1750492831
Name:A SAFE PLACE, INC.
Entity Type:Organization
Organization Name:A SAFE PLACE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:TERRE
Authorized Official - Middle Name:
Authorized Official - Last Name:BERKLAND
Authorized Official - Suffix:
Authorized Official - Credentials:MSW/PIP
Authorized Official - Phone:605-661-5176
Mailing Address - Street 1:500 PARK ST
Mailing Address - Street 2:SUITE 13
Mailing Address - City:YANKTON
Mailing Address - State:SD
Mailing Address - Zip Code:57078-3846
Mailing Address - Country:US
Mailing Address - Phone:605-661-5176
Mailing Address - Fax:605-665-2036
Practice Address - Street 1:500 PARK ST
Practice Address - Street 2:SUITE 13
Practice Address - City:YANKTON
Practice Address - State:SD
Practice Address - Zip Code:57078-3846
Practice Address - Country:US
Practice Address - Phone:605-661-5176
Practice Address - Fax:605-665-2036
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-31
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
SD4995077OtherWELLMARK
SD6571033Medicaid