Organization
STONE RIDGE RECOVERY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ADRIAN GONZALEZ (CEO / CHIEF EXECUTIVE OFFICER)
(714) 719-2602
Entity
Organization
Contact information
Practice address
24951 SANDRIDGE CIR, LAGUNA HILLS, CA 92653-5893
(714) 719-2602
Mailing address
24951 SANDRIDGE CIR, LAGUNA HILLS, CA 92653-5893
(714) 719-2602
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
300041AP
CA
Other
Enumeration date
05/22/2018
Last updated
05/22/2018
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