Organization
RIVERSIDE RECOVERY RESOURCES
Active
Parent organization
RIVERSIDE RECOVERY RESOURCES
Other names
Omega / Beta Program
Organization subpart
Yes
Provider details
NPI number
Legal business name
RIVERSIDE RECOVERY RESOURCES
Authorized official
DERRICK BRUCE HARVEY CAS II (EXECUTIVE DIRECTOR)
(951) 674-7354
Entity
Organization
Contact information
Practice address
3757 ELIZABETH ST, RIVERSIDE, CA 92506-2508
(951) 674-7354
(951) 674-5227
Mailing address
PO BOX 549, LAKE ELSINORE, CA 92531-0549
(951) 674-7354
(951) 674-5227
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
330009QN
CA
Other
Enumeration date
10/08/2009
Last updated
10/08/2009
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