| Ready To Evolve Recovery Center Llc | |
|
9320 Base Line Rd Ste A Rancho Cucamonga CA 91701-5829 | |
| (909) 746-7952 | |
| (909) 360-1332 |
| Full Name | Ready To Evolve Recovery Center Llc |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 9320 Base Line Rd Ste A, 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 9320 Base Line Rd Ste A Rancho Cucamonga CA 91701-5829 Ph: (909) 746-7952 | Ready To Evolve Recovery Center Llc 9320 Base Line Rd Ste A Rancho Cucamonga CA 91701-5829 Ph: (909) 746-7952 |
| NPI Number | 1174219000 |
|---|---|
| Provider Enumeration Date | 04/13/2023 |
| Last Update Date | 11/01/2024 |
| Certification Date | 11/01/2024 |
| 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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