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Organization

SAFE HARBOR TREATMENT CENTER FOR WOMEN INC

Active
Other names
Safe Harbor's Capella
Organization subpart
No

Provider details

NPI number
Authorized official
VELVET BLEAU MANGAN (OWNER/OFFICER)
(949) 645-1026
Entity
Organization

Contact information

Practice address
546 BERNARD ST, COSTA MESA, CA 92627-2658
(949) 645-1026
Mailing address
1966 MAPLE AVE UNIT A, COSTA MESA, CA 92627-2660
(714) 849-9434
(714) 242-6775

Taxonomy

Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
300221AP
CA
324500000X
Substance Abuse Rehabilitation Facility
300221DP
CA
3245S0500X
Children's Substance Abuse Rehabilitation Facility
300221BP
CA
3245S0500X
Children's Substance Abuse Rehabilitation Facility
300221CP
CA

Other

Enumeration date
12/26/2017
Last updated
03/17/2018
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