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Organization
OPERATION SAFEHOUSE
Active
Organization
OPERATION SAFEHOUSE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICOLE WATSON (MENTAL HEALTH PROGRAMS DIRECTOR)
(760) 285-1740
Entity
Organization
Contact information
Practice address
3043 SAFFRON CT, PERRIS, CA 92571-3778
(760) 285-1740
Mailing address
9685 HAYES ST, RIVERSIDE, CA 92503-3660
(760) 285-1740
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
102741
MARRIAGE AND FAMILY THERAPIST INTERN
CA
01
—
2176
PROFESSIONAL CLINICAL COUNSELOR INTERN
CA
01
—
84662
MARRIAGE AND FAMILY THERAPIST INTERN
CA
01
—
98084
MARRIAGE AND FAMILY THERAPIST INTERN
CA
Enumeration date
10/31/2017
Last updated
10/31/2017
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