SAFE REFUGE NPI 1962621664

NPI Information

NPI: 1962621664
Provider Name: SAFE REFUGE

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

Classification: Substance Abuse Rehabilitation Facility - 324500000X
Entity Type: Organization
Address:
3125 EAST 7TH STREET
LONG BEACH, CA
ZIP 90804
Phone: (562) 987-5742
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SAFE REFUGE is a substance abuse rehabilitation facility in Long Beach, 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 REFUGE NPI is 1962621664. 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:

3125 EAST 7TH STREET
LONG BEACH, CA
ZIP 90804-932
Phone: (562) 987-5742
Fax: (562) 987-2488

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

The enumeration date for this NPI number is 4/24/2007 and was last updated on 12/30/2014.

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	No
2	324500000X	Substance Abuse Rehabilitation Facility		190077AHN	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	MEDI-CAL PROVIDER NUMBER

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: 11/14/2023

NPI Synchronization or Removal

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