Ready To Evolve Recovery Center Llc | |
9330 Base Line Rd Ste 208 Rancho Cucamonga CA 91701-5827 | |
(909) 746-7952 | |
Not Available |
Full Name | Ready To Evolve Recovery Center Llc |
---|---|
Speciality | Clinic/center - Adult Mental Health |
Location | 9330 Base Line Rd Ste 208, Rancho Cucamonga, California |
Authorized Official Name and Position | Kellina Sanders (PROGRAM DIRECTOR) |
Authorized Official Contact | 9097467952 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Ready To Evolve Recovery Center Llc 9330 Base Line Rd Ste 208 Rancho Cucamonga CA 91701-5827 Ph: (909) 746-7952 | Ready To Evolve Recovery Center Llc 9330 Base Line Rd Ste 208 Rancho Cucamonga CA 91701-5827 Ph: (909) 746-7952 |
NPI Number | 1174219000 |
---|---|
Provider Enumeration Date | 04/13/2023 |
Last Update Date | 04/13/2023 |
Certification Date | 04/13/2023 |
Identifier | Type | State | Issuer |
---|---|---|---|
1174219000 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
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