| NPI | 1619208709 |
|---|---|
| Doing Business As | SAFE HAVEN HOSPITAL OF POCATELLO |
| Entity Type | Organization |
| Authorized Contact | ANGELA DAWN PASQUALE Controller 208-539-0751 |
| Organization Subpart ? | No |
| Primary Taxonomy | 283Q00000X Psychiatric Hospital (Licence: ID 59) |
| Enumeration Date | 2010-01-29 |
| Last Update Date | 2017-02-27 |