Healthcare Provider Details

I. General information

NPI: 1851199475
Provider Name (Legal Business Name): JOYFUL MINDS RECOVERY CENTER LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/07/2025
Last Update Date: 03/07/2025
Certification Date: 03/07/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4505 ALLSTATE DR STE 222
RIVERSIDE CA
92501-1775
US

IV. Provider business mailing address

4505 ALLSTATE DR STE 222
RIVERSIDE CA
92501-1775
US

V. Phone/Fax

Practice location:
  • Phone: 951-899-5741
  • Fax: 909-600-0186
Mailing address:
  • Phone: 951-899-5741
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QR0405X
TaxonomySubstance Use Disorder Rehabilitation Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MR. PAUL S ARNOLD
Title or Position: CFO
Credential:
Phone: 951-899-5741