Healthcare Provider Details

I. General information

NPI: 1619248002
Provider Name (Legal Business Name): MFI RECOVERY CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/18/2012
Last Update Date: 04/18/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5870 ARLINGTON AVE SUITE 103
RIVERSIDE CA
92504-2037
US

IV. Provider business mailing address

31555 RANCHO VISTA RD
TEMECULA CA
92592-3516
US

V. Phone/Fax

Practice location:
  • Phone: 951-683-6596
  • Fax: 951-683-4239
Mailing address:
  • Phone: 951-683-6596
  • Fax: 951-683-4239

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: CRAIG LAMBDIN
Title or Position: EXECUTIVE DIRECTOR
Credential: MA
Phone: 951-683-6596