Organization
SAFE HARBORS CAPELLA INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KENNETH GRAY (INSURANCE COORDINATOR)
(626) 797-9977
Entity
Organization
Contact information
Practice address
546 BERNARD ST, COSTA MESA, CA 92627-2658
(626) 797-9977
(626) 844-2977
Mailing address
240 KNOX ST, COSTA MESA, CA 92627-3742
(626) 797-9977
(626) 844-2977
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
300221DP
CA
Other
Enumeration date
04/29/2013
Last updated
04/29/2013
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