Organization · Type 2 NPI
ST Mary LLC
Substance Use Disorder Rehabilitation Clinic/Center · Riverside, CA
NPI number
1932491271
Active
Practice location
6896 Magnolia Ave
Riverside, CA 92506-2843
Fax (951) 787-4962
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Substance Use Disorder Rehabilitation Clinic/Center Primary | 261QR0405X | 00A432060 (CA) |
Substance Use Disorder Rehabilitation Clinic/Center: Definition to come...
3 other providers at this address
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About NPI 1932491271
ST Mary LLC's National Provider Identifier is 1932491271, issued on May 4, 2011. The primary taxonomy on file is Substance Use Disorder Rehabilitation Clinic/Center (261QR0405X), and the practice location is in Riverside, CA. The record was last updated on May 4, 2011.