Organization
ADULT WORK EXPERIENCES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARIE VERNON (PROGRAM DIRECTOR)
(951) 898-5733
Entity
Organization
Contact information
Practice address
11840 MAGNOLIA AVE STE G, 11840 MAGNOLIA AVE STE G, RIVERSIDE, CA 92503-9250
(951) 898-5733
(844) 746-7646
Mailing address
11840 MAGNOLIA AVE STE G, 11840 MAGNOLIA AVE STE G, RIVERSIDE, CA 92503-9250
(951) 898-5733
(844) 746-7646
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Enumeration date
06/04/2025
Last updated
06/04/2025
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