Organization
RIVERSIDE COUNTY LATINO COMMISSION ON ALCOHOL AND DRUG ABUSE SERVICES
Active
Parent organization
RIVERSIDE COUNTY LATINO COMMISSION ON ALCOHOL AND DRUG ABUSE SERVICES
Other names
Michael's Youth Treatment Home for Boys
Organization subpart
Yes
Provider details
NPI number
Legal business name
RIVERSIDE COUNTY LATINO COMMISSION ON ALCOHOL AND DRUG ABUSE SERVICES
Authorized official
LEONEL CONTRERAS (EXECUTIVE DIRECTOR)
(760) 398-9000
Entity
Organization
Contact information
Practice address
43485 HOLLYHOCK ST, INDIO, CA 92201-1976
(760) 398-8800
(760) 398-9790
Mailing address
1612 1ST ST, COACHELLA, CA 92236-1407
(760) 398-9000
(760) 398-9790
Taxonomy
Speciality
Code
Description
License number
State
3245S0500X
Children's Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
01/09/2017
Last updated
03/14/2018
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