RIVERSIDE RECOVERY RESOURCES NPI 1730414707

NPI Information

NPI: 1730414707
Provider Name: RIVERSIDE RECOVERY RESOURCES

Other Name: OMEGA / BETA PROGRAM

Classification: Clinic/Center - 261QR0405X
Entity Type: Organization

Specialization: Rehabilitation, Substance Use Disorder

Address:
3757 ELIZABETH ST
RIVERSIDE, CA
ZIP 92506
Phone: (951) 674-7354
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RIVERSIDE RECOVERY RESOURCES is a rehabilitation and substance use disorder clinic center in Riverside, CA. RIVERSIDE RECOVERY RESOURCES NPI is 1730414707. The provider is registered as an organization entity type.
The provider Other Name Is Omega / Beta Program.

The provider's business location address is:

3757 ELIZABETH ST
RIVERSIDE, CA
ZIP 92506-508
Phone: (951) 674-7354
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) 674-7354.

The enumeration date for this NPI number is 10/8/2009 and was last updated on 10/8/2009.

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
1	261QR0405X	Clinic/Center	Rehabilitation, Substance Use Disorder	330009QN	CALIFORNIA	Yes

What is NPI?

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This page was last updated on: 4/28/2024

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