Organization
RIVERSIDE RECOVERY RESOURCES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DERRICK BRUCE HARVEY CRPM CASII (EXECUTIVE DIRECTOR)
(951) 674-5354
Entity
Organization
Contact information
Practice address
24975 BAY AVE, MORENO VALLEY, CA 92553-3801
(951) 674-5354
(951) 674-5227
Mailing address
PO BOX 549, LAKE ELSINORE, CA 92531-0549
(951) 674-5354
(951) 674-5354
Taxonomy
Speciality
Code
Description
License number
State
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
330009PN
CA
Other
Enumeration date
08/06/2008
Last updated
08/06/2008
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