Sacred Space Healing & Retreat Center International, Inc.
NPI #1043768807 in Cloverdale, California
Provider Information
- NPI Number
- 1043768807
- Entity Type
- Organization
- Organization Name
- Sacred Space Healing & Retreat Center International, Inc.
- Primary Specialty
- Substance Abuse Rehabilitation Facility
- Enumeration Date
- Sep 21, 2016
- Last Updated
- Sep 21, 2016
Practice Location
- Address
- 627 CHERRY CREEK RD.
- Address 2
- BOX 311
- City
- Cloverdale
- State
- California
- ZIP Code
- 95425
- Phone
- (707) 894-0063
Authorized Official
- Name
- MR. ANUSHA AMEN-RA, C.N.C.
- Title
- CEO / PRESIDENT
- Phone
- (707) 894-0063
Specialties & Taxonomy Codes
| Specialty |
|---|
| Substance Abuse Rehabilitation Facility |
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