Organization
RIVERSIDE RECOVERY RESOURCES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DERRICK BRUCE HARVEY CAS II CRPM (EXECUTIVE DIRECTOR)
(951) 674-5354
Entity
Organization
Contact information
Practice address
1405 EDUCATION WAY # 200, LAKE ELSINORE, CA 92530-2809
(951) 674-5354
(951) 674-5227
Mailing address
PO BOX 549, LAKE ELSINORE, CA 92531-0549
(951) 674-5354
(951) 674-5227
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
CA
Other
Enumeration date
08/04/2008
Last updated
02/19/2010
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