Organization
PAVISCH TREATMENT CENTERS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DENNIS MARTIN SCHOLL (EXECUTIVE DIRECTOR)
(951) 769-8973
Entity
Organization
Contact information
Practice address
4241 GLENWOOD DR, RIVERSIDE, CA 92501-3027
(951) 785-1571
Mailing address
185 KETTLE CRK, BEAUMONT, CA 92223-7313
(951) 769-8973
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
330088AP
CA
Other
Enumeration date
02/13/2008
Last updated
02/13/2008
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