Organization
JILOA TREATMENT AND RECOVERY CENTERS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KEITH DARNELL RHODES SR. (CEO)
(951) 203-4474
Entity
Organization
Contact information
Practice address
26340 KALMIA AVE, MORENO VALLEY, CA 92555-1720
(951) 203-4474
(951) 208-4491
Mailing address
26340 KALMIA AVE, MORENO VALLEY, CA 92555-1720
(951) 203-4474
(951) 208-4491
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
—
—
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
09/19/2016
Last updated
09/19/2016
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