| Rise Recovery | |
|
395 W 17th St San Bernardino CA 92405-4409 | |
| (909) 733-6490 | |
| (213) 986-4916 |
| Full Name | Rise Recovery |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 395 W 17th St, San Bernardino, California |
| Authorized Official Name and Position | Karina Cruz (MANAGEING PARTNER) |
| Authorized Official Contact | 9097336490 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Rise Recovery 395 W 17th St San Bernardino CA 92405-4409 Ph: (909) 733-6490 | Rise Recovery 395 W 17th St San Bernardino CA 92405-4409 Ph: (909) 733-6490 |
| NPI Number | 1528604501 |
|---|---|
| Provider Enumeration Date | 11/25/2019 |
| Last Update Date | 11/25/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528604501 | NPI | - | NPPES |
| 1336598259 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Primary |
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