Organization
HEALING WATERS RECOVERY, LLC EASTVALE
Active
Parent organization
HEALING WATERS RECOVERY ASP, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
HEALING WATERS RECOVERY ASP, LLC
Authorized official
MRS. DARLENE MARIE LEON (PRESIDENT)
(772) 233-0677
Entity
Organization
Contact information
Practice address
13757 ASPEN LEAF LANE, EASTVALE, CA 92880
(772) 233-0677
Mailing address
19069 VAN BUREN BLVD, 114 116, RIVERSIDE, CA 92508
(772) 233-0677
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
201617610555
CA
Other
Enumeration date
09/14/2016
Last updated
09/14/2016
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