Organization
SAFE HARBOR'S CAPELLA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VELVET MANGAN (CEO)
(949) 645-1026
Entity
Organization
Contact information
Practice address
546 BERNARD ST, COSTA MESA, CA 92627-2658
(949) 645-1026
Mailing address
240 KNOX ST, COSTA MESA, CA 92627-3742
(949) 645-1026
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
300221AP
CA
Other
Enumeration date
12/01/2010
Last updated
12/01/2010
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