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Organization
RISE RECOVERY
Active
Organization
RISE RECOVERY
Active
Parent organization
FOUNDATION ENTERPRISES LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
FOUNDATION ENTERPRISES LLC
Authorized official
KARINA CRUZ (MANAGEING PARTNER)
(909) 733-6490
Entity
Organization
Contact information
Practice address
395 W 17TH ST, SAN BERNARDINO, CA 92405-4409
(909) 733-6490
(213) 986-4916
Mailing address
395 W 17TH ST, SAN BERNARDINO, CA 92405-4409
(909) 733-6490
(213) 986-4916
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1336598259
—
CA
Enumeration date
11/25/2019
Last updated
11/25/2019
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