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Organization

MFI RECOVERY CENTER

Active
Other names
La Vista, A Program of MFI Recovery Center
Organization subpart
No

Provider details

NPI number
Authorized official
JOSSYE KARIN TRIVINO-COOK (CEO)
(951) 683-6596
Entity
Organization

Contact information

Practice address
2220 GIRARD STREET, SUITE A, SAN JACINTO, CA 92583-5301
(951) 683-6596
(951) 683-4239
Mailing address
5870 ARLINGTON AVE, RIVERSIDE, CA 92504
(951) 683-6596
(991) 351-1554

Taxonomy

Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
330013SN
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
02443200
CA
Enumeration date
04/05/2016
Last updated
03/04/2025
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