Organization · Type 2 NPI

Pacific Manor Recovery LLC

Substance Abuse Rehabilitation Facility · Riverside, CA

NPI number 1639789035 Active

Practice location

3686 Pacific Ave
Riverside, CA 92509-1948

Fax (949) 209-5490

Mailing address

3151 Airway Ave Ste E1
Costa Mesa, CA 92626-4620

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 1639789035

Pacific Manor Recovery LLC's National Provider Identifier is 1639789035, issued on Jul 31, 2020. 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 Aug 30, 2021.