Organization
SUNRISE ALCOHOL & DRUGS REHAB CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. GWENDOLYN ANN WILSON (CEO)
(951) 683-0633
Entity
Organization
Contact information
Practice address
12125 DAY ST STE E315, MORENO VALLEY, CA 92557-6735
(951) 683-0633
Mailing address
12125 DAY ST STE E315, MORENO VALLEY, CA 92557-6735
(951) 683-0633
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
08/05/2010
Last updated
10/31/2011
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