Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Sacred Space Healing & Retreat Center International, Inc

Organization Substance Abuse Rehabilitation Facility · NPI 1043768807

Sacred Space Healing & Retreat Center International, Inc is a Substance Abuse Rehabilitation Facility in Cloverdale, California. Licensed in California. Registered with an NPI since 2016.

Licensed in
CA
In the registry since
2016
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

627 Cherry Creek Rd Box 311
Cloverdale, CA 95425
Phone: (707) 894-0063
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Substance Abuse Rehabilitation Facility (primary) Taxonomy 324500000X · Licence 490039AP (CA)

Record details

NPI number1043768807
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Anusha Amen-Ra — Ceo / President · (707) 894-0063
Other names Sacred Space Retreats
NPI enumeratedSeptember 21, 2016
Last updated in NPPESSeptember 21, 2016
Mailing address627 Cherry Creek Rd., Box 311, Cloverdale, CA 95425