SAFE HARBOR TREATMENT CENTER FOR WOMEN INC NPI 1285140483

NPI Information

SAFE HARBOR TREATMENT CENTER FOR WOMEN INC is a substance abuse rehabilitation facility in Costa Mesa, CA. The provider is a facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. SAFE HARBOR TREATMENT CENTER FOR WOMEN INC NPI is 1285140483. The provider is registered as an organization entity type.
The provider Other Name Is Safe Harbor's Capella.

The provider's business location address is:

546 BERNARD ST
COSTA MESA, CA
ZIP 92627-658
Phone: (949) 645-1026

The provider's authorized official is Velvet Bleau Mangan .
The authorized official title is Owner/officer and has the following contact phone number (949) 645-1026.

The CLIA number assigned to this NPI record is 05D2026409 - other - residential treatment with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/26/2017 and was last updated on 3/17/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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