Healthcare Provider Details

I. General information

NPI: 1396052031
Provider Name (Legal Business Name): SAFE HARBOR TREATMENT CENTER FOR WOMEN INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/01/2010
Last Update Date: 08/27/2025
Certification Date: 08/27/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

240 KNOX ST
COSTA MESA CA
92627
US

IV. Provider business mailing address

25801 OBRERO DR STE 2
MISSION VIEJO CA
92691-3141
US

V. Phone/Fax

Practice location:
  • Phone: 714-785-2079
  • Fax: 714-242-6775
Mailing address:
  • Phone: 714-914-5388
  • Fax: 714-242-6775

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code324500000X
TaxonomySubstance Abuse Rehabilitation Facility
License Number300154AP
License Number StateCA

VIII. Authorized Official

Name: JAMEY KUREH
Title or Position: CEO & CFO
Credential:
Phone: 714-914-5388