RIVERSIDE RECOVERY RESOURCES NPI 1205158631

NPI Information

  • NPI: 1205158631
  • Provider Name: RIVERSIDE RECOVERY RESOURCES
  • Classification: Clinic/Center - 261QR0405X
  • Specialization: Rehabilitation, Substance Use Disorder
  • Entity Type: Organization
  • Address: 520 CHANEY ST
    CONFERENCE ROOM
    LAKE ELSINORE, CA
    ZIP 92530
  • Phone: (951) 674-5354

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NPI Details

RIVERSIDE RECOVERY RESOURCES is a rehabilitation and substance use disorder clinic center in Lake Elsinore, CA. RIVERSIDE RECOVERY RESOURCES NPI is 1205158631. The provider is registered as an organization entity type.

The provider's business location address is:

520 CHANEY ST
CONFERENCE ROOM
LAKE ELSINORE, CA
ZIP 92530-711
Phone: (951) 674-5354
Fax: (951) 674-5227

The provider's authorized official is Derrick Bruce Harvey .
The authorized official title is Executive Director and has the following contact phone number (951) 674-5354.

The enumeration date for this NPI number is 2/26/2010 and was last updated on 2/26/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QR0405XClinic/CenterRehabilitation, Substance Use DisorderCALIFORNIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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