Organization
DEVELOPMENTAL CLIENT CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CARL E ROWE PHARM MD (OWNER)
(951) 243-5129
Entity
Organization
Contact information
Practice address
11751 DAVIS ST, MORENO VALLEY, CA 92557
(951) 243-5129
(951) 485-2642
Mailing address
11751 DAVIS ST, MORENO VALLEY, CA 92557
(951) 243-5129
(951) 485-2642
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
1488647
CA
Other
Enumeration date
11/17/2006
Last updated
08/22/2020
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