Organization
WHITESIDE MANOR, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DORI DOTSON (ADMIN MANAGER)
(951) 788-9515
Entity
Organization
Contact information
Practice address
2743 ORANGE ST, RIVERSIDE, CA 92501-2538
(951) 686-9454
(951) 686-2303
Mailing address
2743 ORANGE ST, RIVERSIDE, CA 92501-2538
(951) 686-9454
(951) 686-2303
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
09/21/2006
Last updated
04/10/2018
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