SAFE REFUGE NPI 1518340082

NPI Information

NPI: 1518340082
Provider Name: SAFE REFUGE

Former Legal Business Name: SUBSTANCE ABUSE FOUNDATION OF LONG BEACH, INC.

Classification: Clinic/Center - 261QR0405X
Entity Type: Organization

Specialization: Rehabilitation, Substance Use Disorder

Address:
3137-39 E 7TH ST
LONG BEACH, CA
ZIP 90804
Phone: (562) 987-5722
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SAFE REFUGE is a rehabilitation and substance use disorder clinic center in Long Beach, CA. SAFE REFUGE NPI is 1518340082. The provider is registered as an organization entity type.
The provider Former Legal Business Name Is Substance Abuse Foundation Of Long Beach, Inc..

The provider's business location address is:

3137-39 E 7TH ST
LONG BEACH, CA
ZIP 90804-932
Phone: (562) 987-5722
Fax: (562) 987-4586

The provider's authorized official is Kathryn Romo .
The authorized official title is Executive Director and has the following contact phone number (562) 987-5722.

The CLIA number assigned to this NPI record is 05D2300830 - other - substance abuse treatment with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/2/2015 and was last updated on 7/18/2015.

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:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QR0405X	Clinic/Center	Rehabilitation, Substance Use Disorder	190077CN	CALIFORNIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1989	OTHER	CALIFORNIA	DRUG MEDI-CAL

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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