Organization
BELOVED RECOVERY
Active
Other names
Mary Lisa Patton
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARY LISA PATTON (OWNER)
(530) 270-9294
Entity
Organization
Contact information
Practice address
919 RESERVE DR, SUITE 125, ROSEVILLE, CA 95678-1346
(530) 270-9294
Mailing address
919 RESERVE DR, SUITE 125, ROSEVILLE, CA 95678-1346
(530) 270-9294
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
A012520315
CA
Other
Enumeration date
06/19/2015
Last updated
06/19/2015
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