Organization · Type 2 NPI

Providence Recovery Centers, Inc.

Substance Abuse Rehabilitation Facility · Moreno Valley, CA

NPI number 1114549144 Active

Practice location

11165 Bonnie View Ave
Moreno Valley, CA 92555

Call (951) 221-1805 Map

Fax (951) 422-3384

Mailing address

28728 Kalmia Ave
Moreno Valley, CA 92555

Specialties and licenses

Taxonomy	Code	License
Substance Abuse Rehabilitation Facility Primary	324500000X	None listed

Substance Abuse Rehabilitation Facility: A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.

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About NPI 1114549144

Providence Recovery Centers, Inc.'s National Provider Identifier is 1114549144, issued on May 13, 2020. The primary taxonomy on file is Substance Abuse Rehabilitation Facility (324500000X), and the practice location is in Moreno Valley, CA. The record was last updated on May 13, 2020.