NPI 1053149476 · live from the CMS NPI Registry
A Safe Haven Wellness & Primary Care, LLC
Family Medicine, Addiction Medicine in Willow Spring, NC. National Provider Identifier 1053149476, active.
NPI record
| NPI | 1053149476 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Family Medicine, Addiction Medicine 207QA0401X |
| Practice location | 8813 Love Field Ct, Willow Spring, NC 27592 |
| Practice phone | 919-400-7863 |
| Enumerated | July 25, 2024 |
| Last updated | December 2, 2025 |
| Authorized official | Trevor Ulrich, Owner |
| Other names | A Safe Haven Wellness & Primary Care |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Medicine, Addiction Medicine primary | 207QA0401X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.