Organization · NPI-2

A Safe Haven Wellness & Primary Care, LLC

Family Medicine, Addiction Medicine · Willow Spring, NC

NPI number1053149476
StatusActive
Last updated in NPPESDec 2, 2025

Details

NPI
1053149476
Entity type
Organization (NPI-2)
Legal business name
A Safe Haven Wellness & Primary Care, LLC
Organization subpart
No
Enumeration date
Jul 25, 2024
Certification date
Dec 2, 2025
Last updated
Dec 2, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207QA0401X Family Medicine, Addiction Medicine––Yes

Other names

  • A Safe Haven Wellness & Primary Care (Doing Business As)

Practice location

8813 Love Field Ct
Willow Spring, NC 27592-8664

Phone 919-400-7863 · Fax 919-290-4754

Mailing address

8813 Love Field Ct
Willow Spring, NC 27592-8664

Phone 919-400-7863 · Fax 919-290-4754

Authorized official

Trevor Aaron Ulrich
Owner
9194007863

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