Organization · Type 2 NPI
Sacred Space Healing & Retreat Center International, Inc.
Substance Abuse Rehabilitation Facility · Cloverdale, CA
NPI number
1043768807
Active
Practice location
627 Cherry Creek Rd., Box 311
Cloverdale, CA 95425
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Substance Abuse Rehabilitation Facility Primary | 324500000X | 490039AP (CA) |
Substance Abuse Rehabilitation Facility: A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.
About NPI 1043768807
Sacred Space Healing & Retreat Center International, Inc.'s National Provider Identifier is 1043768807, issued on Sep 21, 2016. The primary taxonomy on file is Substance Abuse Rehabilitation Facility (324500000X), and the practice location is in Cloverdale, CA. The record was last updated on Sep 21, 2016.