Healthcare Provider Details

I. General information

NPI: 1114374097
Provider Name (Legal Business Name): SAFE AND SOUND TREATMENT, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/19/2016
Last Update Date: 05/25/2023
Certification Date: 05/25/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3151 AIRWAY AVE STE L2
COSTA MESA CA
92626-4626
US

IV. Provider business mailing address

3151 AIRWAY AVE STE L2
COSTA MESA CA
92626-4626
US

V. Phone/Fax

Practice location:
  • Phone: 949-408-3711
  • Fax: 949-449-8711
Mailing address:
  • Phone: 949-408-3711
  • Fax: 949-449-8711

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QR0405X
TaxonomySubstance Use Disorder Rehabilitation Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code324500000X
TaxonomySubstance Abuse Rehabilitation Facility
License Number300666AP
License Number StateCA

VIII. Authorized Official

Name: MRS. MARY CASS
Title or Position: CFO
Credential:
Phone: 949-408-3711