Providence Recovery Centers, Inc.
NPI #1114549144 in Moreno Valley, California
Provider Information
- NPI Number
- 1114549144
- Entity Type
- Organization
- Organization Name
- Providence Recovery Centers, Inc.
- Primary Specialty
- Substance Abuse Rehabilitation Facility
- Enumeration Date
- May 13, 2020
- Last Updated
- May 13, 2020
Practice Location
- Address
- 11165 BONNIE VIEW AVE
- City
- Moreno Valley
- State
- California
- ZIP Code
- 92555
- Phone
- (951) 221-1805
Authorized Official
- Name
- MRS. STACY JO DORSEY
- Title
- EXECUTIVE DIRECTOR/COO
- Phone
- (951) 221-1805
Specialties & Taxonomy Codes
| Specialty |
|---|
| Substance Abuse Rehabilitation Facility |
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