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Organization
YWCA BORN FREE
Active
Organization
YWCA BORN FREE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CHERYL LYNNE RHODES (EXECUTIVE DIRECTOR)
(951) 687-9922
Entity
Organization
Contact information
Practice address
8310 BAXTER WAY, RIVERSIDE, CA 92504
(951) 689-9366
(951) 352-7374
Mailing address
8172 MAGNOLIA AVE, RIVERSIDE, CA 92504
(951) 687-9922
(951) 352-7374
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
330015CN
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
33352
MEDICAL
CA
Enumeration date
12/05/2006
Last updated
08/22/2020
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