Southwest Washington Safehaven

LBN: A New Safehaven
Southwest Washington Safehaven is an health care organization with primary practice located at 1441 11Th Ave , Longview WA 98632-3818. The organization recently has only one registered license in Residential Treatment Facilities / Substance Abuse Rehabilitation Facility, which is considered as the primary health care specialty. A New Safehaven can be contacted via phone (360) 577-4340, or through Casserd-Johnson, Debra via phone (360) 577-4340.

Contact Information

Primary practice address
1441 11Th Ave Longview WA 98632-3818
Phone: (360) 577-4340
Fax: (360) 577-4350
Website:
Map and Directions
Authorized official contact:
Name: Casserd-Johnson, Debra CDP
Phone: (360) 577-4340

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Substance Abuse Rehabilitation Facility 324500000X Washington

Profile Details

NPI number 1659599611
LBN Legal business name A New Safehaven
DBA Doing business as Southwest Washington Safehaven
Authorized official Casserd-Johnson, Debra CDP
Entity Organization
Organization subpart 1 No
Enumeration date Apr 23rd, 2007
Last updated Jul 21st, 2022 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1659599611 NPPES
Washington Other 6440SW REGENCE IDENTIFICATION
Washington Other 145054826 REGENCE IDENTIFICATION
Washington Other 602-308-263 REGENCE IDENTIFICATION

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