Organization
RIVERSIDE RECOVERY RESOURCES
Active
Parent organization
RIVERSIDE RECOVERY RESOURCES
Other names
Omega / Beta Program
Organization subpart
Yes
Provider details
NPI number
Legal business name
RIVERSIDE RECOVERY RESOURCES
Authorized official
R KEITH SIMPSON DO DPH (MEDICAL DIRECTOR)
(951) 294-5882
Entity
Organization
Contact information
Practice address
2055 N PERRIS BLVD STE G, PERRIS, CA 92571-2509
(951) 940-6061
(951) 674-5227
Mailing address
PO BOX 549, LAKE ELSINORE, CA 92531-0549
(951) 294-5882
(951) 294-5806
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
330009PN
CA
Other
Enumeration date
10/07/2009
Last updated
08/02/2012
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