Organization · NPI-2
A Safe Haven Youth & Family Services, LLC
Clinic/Center, Mental Health (Including Community Mental Health Center) · Mesa, AZ
NPI number1982304697
StatusActive
Last updated in NPPESJun 12, 2026
Details
- NPI
- 1982304697
- Entity type
- Organization (NPI-2)
- Legal business name
- A Safe Haven Youth & Family Services, LLC
- Organization subpart
- No
- Enumeration date
- Mar 9, 2023
- Certification date
- Jun 12, 2026
- Last updated
- Jun 12, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QM0801X | Clinic/Center, Mental Health (Including Community Mental Health Center) | – | – | Yes |
Practice location
1237 S Val Vista Dr # 119Mesa, AZ 85204-6401
Phone 480-452-8763
Mailing address
1237 S Val Vista Dr # 119Mesa, AZ 85204-6401
Phone 480-452-8763
Authorized official
Jazmarie Mader
Ceo
4804528763
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