Organization · Type 2 NPI

Whiteside Manor, Palm Facility

Substance Abuse Rehabilitation Facility · Riverside, CA

NPI number 1467902502 Active

Practice location

4750 Palm Ave
Riverside, CA 92501-4012

Mailing address

2743 Orange St
Riverside, CA 92501-2538

Specialties and licenses

TaxonomyCodeLicense
Substance Abuse Rehabilitation Facility Primary 324500000XNone 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 1467902502

Whiteside Manor, Palm Facility's National Provider Identifier is 1467902502, issued on Oct 13, 2016. The primary taxonomy on file is Substance Abuse Rehabilitation Facility (324500000X), and the practice location is in Riverside, CA. The record was last updated on Oct 13, 2016.