Crystal Ridge Recovery
NPI #1023781903 in San Bernardino, California
Provider Information
- NPI Number
- 1023781903
- Entity Type
- Organization
- Organization Name
- Crystal Ridge Recovery
- Primary Specialty
- Substance Abuse Rehabilitation Facility
- Enumeration Date
- Jul 27, 2021
- Last Updated
- Jul 27, 2021
Practice Location
- Address
- 2748 S ERIN WAY
- City
- San Bernardino
- State
- California
- ZIP Code
- 92408-4184
- Phone
- (951) 288-7962
Authorized Official
- Name
- MR. JEEVAKA PRASANNA WEERASINGHE, RN
- Title
- PRESIDENT
- Phone
- (951) 288-7962
Specialties & Taxonomy Codes
| Specialty |
|---|
| Substance Abuse Rehabilitation Facility |
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