Provider Demographics
NPI:1720672314
Name:SAFE HARBOR WELLNESS, INC.
Entity type:Organization
Organization Name:SAFE HARBOR WELLNESS, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:
Authorized Official - First Name:ANNE-MARGARET
Authorized Official - Middle Name:
Authorized Official - Last Name:BOTELHO
Authorized Official - Suffix:
Authorized Official - Credentials:PMHNP
Authorized Official - Phone:508-202-0679
Mailing Address - Street 1:16 SCONTICUT NECK RD # 217
Mailing Address - Street 2:
Mailing Address - City:FAIRHAVEN
Mailing Address - State:MA
Mailing Address - Zip Code:02719-1914
Mailing Address - Country:US
Mailing Address - Phone:508-202-0679
Mailing Address - Fax:833-499-1787
Practice Address - Street 1:6 COUNTY RD STE 6
Practice Address - Street 2:
Practice Address - City:MATTAPOISETT
Practice Address - State:MA
Practice Address - Zip Code:02739-1585
Practice Address - Country:US
Practice Address - Phone:508-202-0679
Practice Address - Fax:866-708-7065
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-02-24
Last Update Date:2023-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)