Organization
RIDGEVIEW RECOVERY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KELLIE TERRY (BILLING MANAGER)
(909) 379-9237
Entity
Organization
Contact information
Practice address
1216 CLEVELAND WAY, CORONA, CA 92881-5906
(833) 327-3268
(888) 507-7087
Mailing address
1000 STATE ROUTE 70 STE 9, LAKEWOOD, NJ 08701-5961
(909) 379-9237
(888) 507-7087
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
330021AP
CA
324500000X
Substance Abuse Rehabilitation Facility
Primary
330021BN
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
330021AP
BEHAVIORAL HEALTH TREATMENT FACILITY
CA
01
—
330021BN
BEHAVIORAL HEALTH TREATMENT FACILITY
CA
Enumeration date
09/25/2017
Last updated
06/11/2019
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