Organization
SAFE HARBOR TREATMENT CENTER FOR WOMEN CAPELLA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KENNETH ANTHONY GRAY (INSURANCE COORDINATOR)
(626) 797-9977
Entity
Organization
Contact information
Practice address
240 KNOX ST, COSTA MESA, CA 92627-3742
(626) 797-9977
Mailing address
240 KNOX ST, COSTA MESA, CA 92627-3742
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
06/19/2012
Last updated
06/19/2012
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