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Organization
RIVER CITY RECOVERY CENTER
Active
Organization
RIVER CITY RECOVERY CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CRAIG KOURY CAS II, NCAC (EXECUTIVE DIRECTOR)
(916) 442-3979
Entity
Organization
Contact information
Practice address
12490 ALTA MESA RD, HERALD, CA 95638-8409
(209) 748-2470
Mailing address
500 22ND ST, SACRAMENTO, CA 95816-3503
(916) 442-3979
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
340002AN
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
251S00000X
COMMUNITY/BEHAVIORAL HEALTH
CA
Enumeration date
05/26/2011
Last updated
05/26/2011
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