| Ywca Born Free | |
|
8310 Baxter Way Riverside CA 92504 | |
| (951) 689-9366 | |
| (951) 352-7374 |
| Full Name | Ywca Born Free |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 8310 Baxter Way, Riverside, California |
| Authorized Official Name and Position | Cheryl Lynne Rhodes (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 9516879922 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ywca Born Free 8172 Magnolia Ave Riverside CA 92504 Ph: (951) 687-9922 | Ywca Born Free 8310 Baxter Way Riverside CA 92504 Ph: (951) 689-9366 |
| NPI Number | 1841358561 |
|---|---|
| Provider Enumeration Date | 12/05/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841358561 | NPI | - | NPPES |
| 33352 | Other | CA | MEDICAL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 330015CN (California) | Primary |
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