Organization
RANCHO RECOVERY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SAMUEL PHILLIPS (CONTROLLER)
(909) 292-6827
Entity
Organization
Contact information
Practice address
13684 JEREMY CT, RANCHO CUCAMONGA, CA 91739-2031
(909) 476-2023
(909) 697-2900
Mailing address
333 E ARROW HWY UNIT 220, UPLAND, CA 91785-7008
(909) 476-2023
(909) 697-2900
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
06/12/2023
Last updated
06/12/2023
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