Organization
EVERLAST RECOVERY CENTERS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANNY LEE DORSEY (OWNER-CEO)
(951) 434-3869
Entity
Organization
Contact information
Practice address
6560 SANDY LN, RIVERSIDE, CA 92505-2028
(951) 434-3869
Mailing address
25900 GLENBURN LN, MENIFEE, CA 92584-9493
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
330165AP
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
330165AP
STATE LICENSE
CA
Enumeration date
07/21/2017
Last updated
05/05/2021
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