OrganizationActive
Nickeli'S Safe Haven Inc
NPI 1891266557 · Voluntary or Charitable Agency · Chicago, IL
Provider details
- NPI number
- 1891266557
- Entity type
- Organization
- Primary specialty
- Voluntary or Charitable AgencyAgencies
- Organization subpart
- No
- Authorized official
- Brandyn Garner, President(773) 960-3024
Specialties & taxonomies
Agencies
- Clinical Medical Laboratory291U00000X
Laboratories
- Community/Behavioral Health Agency251S00000X
Agencies
Practice location
9057 S Parnell Ave
Chicago, IL 60620-2240
Phone: (773) 960-3024
Approximate (ZIP-level) locationGet directions
Mailing address
9057 S Parnell Ave
Chicago, IL 60620-2240
Registry dates
- Enumerated
- 2018-12-06
- Last updated
- 2021-09-20
- Certified
- 2021-09-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.