Organization
VALLEY WIDE RECREATION & PARK DISTRICT
Active
Organization
VALLEY WIDE RECREATION & PARK DISTRICT
Active
Other names
Valley Wide Outreach Services
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SAM GOEPP (GENERAL MANAGER)
(951) 654-1505
Entity
Organization
Contact information
Practice address
901 W. ESPLANADE AVE., SAN JACINTO, CA 92582
(951) 654-1505
(951) 654-9927
Mailing address
P.O. BOX 907, SAN JACINTO, CA 92581
(951) 654-1505
(951) 654-9927
Taxonomy
Speciality
Code
Description
License number
State
3245S0500X
Children's Substance Abuse Rehabilitation Facility
Primary
330046AN
CA
Other
Enumeration date
10/03/2006
Last updated
08/22/2020
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