Healthcare Provider Details

I. General information

NPI: 1568392652
Provider Name (Legal Business Name): OPERATION SAFEHOUSE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/20/2026
Last Update Date: 05/20/2026
Certification Date: 05/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2900 ADAMS ST STE 410
RIVERSIDE CA
92504-4335
US

IV. Provider business mailing address

9685 HAYES ST
RIVERSIDE CA
92503-3660
US

V. Phone/Fax

Practice location:
  • Phone: 951-351-4418
  • 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: NORMA J BIEGEL
Title or Position: ADMINISTRATIVE DIRECTOR
Credential:
Phone: 951-351-4418