Pine Ridge Treatment Center, INC
NPI #1598324311 in Lucerne Valley, California
Provider Information
- NPI Number
- 1598324311
- Entity Type
- Organization
- Organization Name
- Pine Ridge Treatment Center, INC
- Primary Specialty
- Substance Abuse Rehabilitation Facility
- Enumeration Date
- Jun 6, 2019
- Last Updated
- Jun 6, 2019
Practice Location
- Address
- 9401 CRYSTAL CREEK RD
- City
- Lucerne Valley
- State
- California
- ZIP Code
- 92356-0859
- Phone
- (760) 248-9199
Authorized Official
- Name
- WALTER GILES
- Title
- PRESIDENT/OWNER
- Phone
- (909) 867-4404
Specialties & Taxonomy Codes
| Specialty |
|---|
| Substance Abuse Rehabilitation Facility |
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