Provider Demographics
NPI:1336540517
Name:SAFE HAVEN TREATMENT SERVICES
Entity Type:Organization
Organization Name:SAFE HAVEN TREATMENT SERVICES
Other - Org Name:SAFE HAVEN TREATMENT SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PROGRAM DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:ADAM
Authorized Official - Middle Name:T
Authorized Official - Last Name:KIRACOFE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:717-818-0731
Mailing Address - Street 1:486 W MARKET ST
Mailing Address - Street 2:
Mailing Address - City:YORK
Mailing Address - State:PA
Mailing Address - Zip Code:17401-3804
Mailing Address - Country:US
Mailing Address - Phone:717-340-6100
Mailing Address - Fax:717-340-6110
Practice Address - Street 1:486 W MARKET ST
Practice Address - Street 2:
Practice Address - City:YORK
Practice Address - State:PA
Practice Address - Zip Code:17401-3804
Practice Address - Country:US
Practice Address - Phone:717-818-0731
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-09-08
Last Update Date:2016-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Multi-Specialty
No101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Multi-Specialty
No291U00000XLaboratoriesClinical Medical LaboratoryGroup - Multi-Specialty