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General NPI Number Information
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NPI Number | 1164194080
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Entity Type | Organization
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Legal Business Name | MFI RECOVERY CENTER
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Dates
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Enumeration Date | 09/29/2021
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Last Update Date | 03/04/2025
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Provider Practice Location Address
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Address Line | 43250 MIDNIGHT CT
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City | BANNING
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State | CA
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Zip | 92220-9565
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Country | US
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Telephone | 951-683-6596
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Fax | 951-683-4239
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Provider Business Mailing Address
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Address Line | 5870 ARLINGTON AVENUE
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City | RIVERSIDE
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State | CA
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Zip | 92504-2037
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Country | US
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Telephone | 951-683-6596
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Fax | 991-351-1554
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Authorized Official
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Title or Position | CHIEF EXECUTIVE OFFICER
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Name | MRS. JOSSYE KARIN COOK
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Credential |
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Telephone | 951-683-6596
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 320800000X
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Taxonomy Name | Mental Illness Community Based Residential Treatment Facility
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 324500000X
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Taxonomy Name | Substance Abuse Rehabilitation Facility
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License Number |
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License Number State |
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