Organization
RIVERSIDE RECOVERY RESOURCES
Active
Other names
Omega/Beta Program
Organization subpart
No
Provider details
NPI number
Authorized official
BERNARD L TRUAX II (CEO/CHAIRMAN OF THE BOARD)
(951) 674-5354
Entity
Organization
Contact information
Practice address
600 THIRD STREET, STE C, LAKE ELSINORE, CA 92530-0000
(951) 674-5354
(951) 674-5227
Mailing address
PO BOX 549, LAKE ELSINORE, CA 92531-0549
(951) 674-5354
(951) 674-5227
Taxonomy
Speciality
Code
Description
License number
State
251300000X
Local Education Agency (LEA)
3300090N
CA
251300000X
Local Education Agency (LEA)
Primary
330009ON
CA
Other
Enumeration date
09/21/2006
Last updated
02/21/2017
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