Organization
HOUSE ON THE CORNER LLC THE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RON L VERVICK J.D. (CEO)
(951) 686-9454
Entity
Organization
Contact information
Practice address
2709 ORANGE ST, RIVERSIDE, CA 92501-2538
(951) 686-9454
(951) 686-2303
Mailing address
2709 ORANGE ST, RIVERSIDE, CA 92501-2538
(951) 686-9454
(951) 686-2303
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
10/28/2014
Last updated
10/28/2014
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