Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Rehabilitation, Substance Use Disorder |
261QR0405X |
| NPI Number | 1083902829 |
| LBN Legal business name | RIVERSIDE RECOVERY RESOURCES |
| Authorized official | LOIS EASTERLING - (CONTRACT ADMINISTRATOR) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 07/14/2011 |
| Last updated | 07/14/2011 - About 15 years ago |
| Identifiers | n/a |
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