Organization
PINE RIDGE TREATMENT CENTERS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WALTER GILES (PRESIDENT)
(909) 867-4404
Entity
Organization
Contact information
Practice address
2727 HIGHLAND DR, RUNNING SPRINGS, CA 92382-2303
(909) 867-7027
Mailing address
PO BOX 2303, RUNNING SPRINGS, CA 92382-2303
(909) 867-7027
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
20A3971
CA
Other
Enumeration date
01/30/2007
Last updated
02/24/2009
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