Organization
RIVERSIDE RECOVERY RESOURCES, INC.
Active
Other names
Omega / Beta Program
Organization subpart
No
Provider details
NPI number
Authorized official
DERRICK BRUCE HARVEY CAS II (EXECUTIVE DIRECTOR)
(951) 674-7354
Entity
Organization
Contact information
Practice address
600 3RD ST STE C, LAKE ELSINORE, CA 92530-2748
(951) 674-7354
(951) 674-7354
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
330009ON
CA
Other
Enumeration date
10/22/2009
Last updated
10/22/2009
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