Healthcare Provider Details

I. General information

NPI: 1376714048
Provider Name (Legal Business Name): MFI RECOVERY CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/20/2008
Last Update Date: 03/11/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9999 COUNTY FARM RD
RIVERSIDE CA
92503-3506
US

IV. Provider business mailing address

9889 COUNTY FARM RD
RIVERSIDE CA
92503-3504
US

V. Phone/Fax

Practice location:
  • Phone: 951-358-6691
  • Fax:
Mailing address:
  • Phone: 951-358-6691
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code324500000X
TaxonomySubstance Abuse Rehabilitation Facility
License Number
License Number State

VIII. Authorized Official

Name: MR. CRAIG LAMBDIN
Title or Position: DIRECTOR
Credential:
Phone: 951-683-6596