Healthcare Provider Details

I. General information

NPI: 1215247796
Provider Name (Legal Business Name): OPERATIONS SAFEHOUSE, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/18/2010
Last Update Date: 10/18/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7130 MAGNOLIA SUITE R
RIVERSIDE CA
92504
US

IV. Provider business mailing address

9685 HAYES STREET
RIVERSIDE CA
92503
US

V. Phone/Fax

Practice location:
  • Phone: 951-213-6665
  • Fax: 951-351-4265
Mailing address:
  • Phone: 951-351-4418
  • Fax: 951-351-4265

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: MRS. KATHY MCADARA
Title or Position: ESECUTIVE DIRECTOR
Credential:
Phone: 951-351-4418