Organization
CANYON RIDGE HOSPITAL INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEVE FILTON (SR VP CFO)
(610) 768-3300
Entity
Organization
Contact information
Practice address
5353 G ST, CHINO, CA 91710-5249
(909) 590-3700
(909) 590-4012
Mailing address
5353 G ST, CHINO, CA 91710-5249
(909) 590-3700
(909) 590-4012
Taxonomy
Speciality
Code
Description
License number
State
283Q00000X
Psychiatric Hospital
Primary
240000357
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
HSM34111J
—
CA
Enumeration date
07/19/2006
Last updated
02/23/2011
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