Organization
SAFE REFUGE
Active
Other names
Substance Abuse Foundation of Long Beach, Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
KATHRYN ROMO (EXECUTIVE DIRECTOR)
(562) 987-5722
Entity
Organization
Contact information
Practice address
1046 REDONDO AVE, LONG BEACH, CA 90804-3927
(562) 987-5722
(562) 987-4586
Mailing address
1041 REDONDO AVE, LONG BEACH, CA 90804-3928
(562) 987-5722
(562) 987-4586
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
190077RN
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1989
DRUG MEDI-CAL
CA
Enumeration date
03/07/2014
Last updated
12/30/2014
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