Organization
SACRED SPACE HEALING & RETREAT CENTER INTERNATIONAL, INC.
Active
Other names
Sacred Space Retreats
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ANUSHA AMEN-RA C.N.C. (CEO / PRESIDENT)
(707) 894-0063
Entity
Organization
Contact information
Practice address
627 CHERRY CREEK RD., BOX 311, CLOVERDALE, CA 95425
(707) 894-0063
Mailing address
627 CHERRY CREEK RD., BOX 311, CLOVERDALE, CA 95425
(707) 894-0063
(800) 914-6360
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
490039AP
CA
Other
Enumeration date
09/21/2016
Last updated
09/21/2016
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