Organization Name: | RIVERSIDE RECOVERY RESOURCES |
NPI Number: | 1922344373 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | CINDY SIMPSON (CLINIC DIRECTOR) |
Mailing Address: | 10551 Bellegrave Ave Jurupa Valley High School Mira Loma |
State: | CA US |
Postal Code: | 917521800 |
Phone Number: | 9512945882 |
Fax Number: | 9512945806 |
NPI Enumeration Date: | 12/12/2012 |
NPI Last Update Date: | 12/12/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QR0405X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Rehabilitation, Substance Use Disorder |
Taxonomy Definition: |