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General NPI Number Information
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NPI Number | 1598618175
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Entity Type | Organization
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Legal Business Name | I C RECOVERY CENTER LLC
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Dates
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Enumeration Date | 02/16/2026
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Last Update Date | 02/16/2026
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Provider Practice Location Address
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Address Line | 11685 HOLMES AVE
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City | JURUPA VALLEY
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State | CA
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Zip | 91752-2737
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Country | US
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Telephone | 213-752-9548
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Fax |
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Provider Business Mailing Address
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Address Line | 11685 HOLMES AVE
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City | JURUPA VALLEY
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State | CA
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Zip | 91752-2737
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Country | US
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Telephone | 213-752-9548
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MS. BRIANNA TAYLOR MCALPIN
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Credential | LVN
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Telephone | 213-752-9548
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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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