Organization
CENTRAL VALLEY REGIONAL RECOVERY CENTER
Active
Parent organization
MENTAL HEALTH SYSTEMS
Organization subpart
Yes
Provider details
NPI number
Legal business name
MENTAL HEALTH SYSTEMS
Authorized official
MR. RONALD STARK MSA (PROGRAM MANAGER)
(909) 433-9824
Entity
Organization
Contact information
Practice address
1076 SANTO ANTONIO DR, COLTON, CA 92324-8103
(909) 433-9824
(909) 433-9830
Mailing address
1076 SANTO ANTONIO DR, COLTON, CA 92324-8103
(909) 433-9824
(909) 433-9830
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RS6544
CAADAC REGISTERED STUDENT
CA
Enumeration date
06/26/2008
Last updated
06/26/2008
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