NPI: 1992890305
Provider Name: VALLEY WIDE RECREATION & PARK DISTRICT
Doing Business As: VALLEY WIDE OUTREACH SERVICES
Classification: Substance Abuse Rehabilitation Facility - 3245S0500X
Entity Type: Organization
Specialization: Substance Abuse Treatment, Children
Address:
901 W. ESPLANADE AVE.
SAN JACINTO, CA
ZIP 92582
Phone: (951) 654-1505
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VALLEY WIDE RECREATION & PARK DISTRICT is a substance abuse treatment and children substance abuse rehabilitation facility in San Jacinto, CA. The provider is a facility or distinct part of a facility for children that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of children with disorders in the use of drugs, alcohol, and other substances. Medical and supportive counseling services and education services are included. VALLEY WIDE RECREATION & PARK DISTRICT NPI is 1992890305. The provider is registered as an organization entity type.
The provider Is Doing Business As Valley Wide Outreach Services.
The provider's business location address is:
901 W. ESPLANADE AVE.
SAN JACINTO, CA
ZIP 92582
Phone: (951) 654-1505
Fax: (951) 654-9927
The provider's authorized official is Sam Goepp .
The authorized official title is General Manager and has the following contact phone number (951) 654-1505.
The enumeration date for this NPI number is 10/3/2006 and was last updated on 8/22/2020.