SACRED SPACE RETREATS
NPI 1043768807
Substance Abuse Rehabilitation Facility in Cloverdale, CA

Q: What is Sacred Space Healing & Retreat Center International, Inc.'s specialty?

The primary specialty registered for this NPI is Substance Abuse Rehabilitation Facility with taxonomy code 324500000X.

Active since September 21, 2016

627 CHERRY CREEK RD., BOX 311, CLOVERDALE, CA 95425(707) 894-0063 Get Directions Write a Review

NPPES record last updated: September 21, 2016. Verified against the NPPES registry weekly; last sync: September 06, 2026.

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About Sacred Space Retreats NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SACRED SPACE RETREATS (NPI 1043768807) is a healthcare organization registered as a substance abuse rehabilitation facility in Cloverdale, California and active in the NPI registry since September 2016. The organization lists Anusha Amen-ra, Ceo / President, as its authorized official.

NPPES Registry Identity

NPI1043768807

Entity TypeOrganization

Primary Taxonomy324500000X

Legal Business NameSACRED SPACE HEALING & RETREAT CENTER INTERNATIONAL, INC.

Location Address627 CHERRY CREEK RD., BOX 311Cloverdale, CA 95425

Mailing Address627 Cherry Creek Rd., Box 311Cloverdale, CA 95425 · (707) 894-0063 · Fax (800) 914-6360

Phone(707) 894-0063

Organization SubpartNo

Authorized OfficialAnusha Amen-raCeo / President · (707) 894-0063

Enumeration DateSeptember 21, 2016

✔ NPI 1043768807 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySubstance Abuse Rehabilitation FacilityResidential Treatment Facilities

Taxonomy Code324500000X

License✔ Licensed in CA · 490039AP

Definition

A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.

627 CHERRY CREEK RD., Cloverdale, CA 95425

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Other Names 1

Doing Business AsSacred Space Retreats

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Sacred Space Healing & Retreat Center International, Inc.'s NPI number?

The NPI number for Sacred Space Healing & Retreat Center International, Inc. is 1043768807. It was assigned to this organization in the NPPES registry on September 21, 2016. The provider is doing business as Sacred Space Retreats.

Where is Sacred Space Healing & Retreat Center International, Inc. located?

Sacred Space Healing & Retreat Center International, Inc. is located at 627 Cherry Creek Rd. Box 311, Cloverdale, CA 95425. The listed phone number is (707) 894-0063.

What is Sacred Space Healing & Retreat Center International, Inc.'s specialty?

The primary specialty registered for this NPI is Substance Abuse Rehabilitation Facility with taxonomy code 324500000X.

When was this NPI record last updated?

The NPPES record for Sacred Space Healing & Retreat Center International, Inc. was last updated on September 21, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.