Safe Space Residential Llc

LBN: Safe Space Residential Llc
Safe Space Residential Llc is an health care organization with primary practice located at 4610 Stonebrook Ct , Glen Allen VA 23060-3632. The organization recently has 3 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center), Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness, Residential Treatment Facilities / Psychiatric Residential Treatment Facility. Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness is the primary health care specialty. Safe Space Residential Llc can be contacted via phone (804) 586-4471, or through Graves, Roger via phone (804) 586-4471.

Contact Information

Primary practice address
4610 Stonebrook Ct Glen Allen VA 23060-3632
Phone: (804) 586-4471
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Graves, Roger
Phone: (804) 586-4471

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) 261QM0801X
Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness 320800000X
Residential Treatment Facilities / Psychiatric Residential Treatment Facility 323P00000X

Profile Details

NPI number 1588428635
LBN Legal business name Safe Space Residential Llc
DBA Doing business as
Authorized official Graves, Roger
Entity Organization
Organization subpart 1 No
Enumeration date Feb 9th, 2024
Last updated Feb 9th, 2024 - about last year

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.

Request for update

Popular Providers