Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Rehabilitation, Substance Use Disorder |
261QR0405X | |||
Adult Mental Health |
261QM0850X | |||
Clinical |
1041C0700X | 80 | Licensed Clinical Social Worker | |
Mental Health (Including Community Mental Health Center) |
261QM0801X | B4[14] | Community Mental Health Center | |
Rehabilitation, Substance Use Disorder Unit |
276400000X |
| NPI Number | 1750092896 |
| LBN Legal business name | A SAFE PLACE EMPOWERMENT NETWORK |
| Authorized official | WANDA JONES - (PROVIDER) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 12/09/2022 |
| Last updated | 02/12/2025 - More than a year ago |
| Identifiers | n/a |
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