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General NPI Number Information
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NPI Number | 1134000268
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Entity Type | Organization
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Legal Business Name | RILEY RECOVERY CENTERS
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Dates
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Enumeration Date | 09/08/2025
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Last Update Date | 10/07/2025
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Provider Practice Location Address
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Address Line | 20880 BAKER RD
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City | CASTRO VALLEY
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State | CA
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Zip | 94546-5729
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Country | US
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Telephone | 310-879-9516
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Fax |
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Provider Business Mailing Address
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Address Line | 20880 BAKER RD
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City | CASTRO VALLEY
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State | CA
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Zip | 94546-5729
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | JUSTIN LUKE RILEY
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Credential | CEO
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Telephone | 720-955-1880
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR0405X
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Taxonomy Name | Substance Use Disorder Rehabilitation Clinic/Center
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License Number |
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License Number State |
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