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General NPI Number Information
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NPI Number | 1609532993
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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 | 11/11/2021
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Last Update Date | 11/11/2021
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Provider Practice Location Address
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Address Line | 10003 COUNTY FARM RD
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City | RIVERSIDE
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State | CA
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Zip | 92503-3507
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Country | US
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Telephone | 951-683-5696
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Fax |
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Provider Business Mailing Address
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Address Line | 5870 ARLINGTON AVE
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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 | 951-897-2708
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | MS. MELINDA DRAKE
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Credential | LCSW
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Telephone | 951-683-5696
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR0800X
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Taxonomy Name | Recovery Care Clinic/Center
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License Number |
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License Number State |
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