Organization
CHICO RECOVERY CENTER
Active
Other names
No
Organization subpart
No
Provider details
NPI number
Authorized official
MISS RUTH ELLEN WALLACE (OWNER/DIRECTOR)
(530) 343-6566
Entity
Organization
Contact information
Practice address
2057 FOREST AVE, SUITE 5, CHICO, CA 95928-7627
(530) 343-6566
(530) 343-6715
Mailing address
2057 FOREST AVE STE 5, CHICO, CA 95928-7627
(530) 343-6566
(530) 343-6715
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
040021AN
CA
Other
Enumeration date
09/23/2014
Last updated
09/23/2014
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