Organization
REVIVING YOU RECOVERY HOUSE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DUSTIN HENSLEY (OWNER)
(760) 420-6654
Entity
Organization
Contact information
Practice address
28889 PARK TRAIL WAY, MENIFEE, CA 92584-7395
(760) 420-6654
Mailing address
28889 PARK TRAIL WAY, MENIFEE, CA 92584-7395
(760) 420-6654
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
05/25/2021
Last updated
05/25/2021
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