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General NPI Number Information
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NPI Number | 1851199475
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Entity Type | Organization
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Legal Business Name | JOYFUL MINDS RECOVERY CENTER LLC
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Dates
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Enumeration Date | 03/07/2025
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Last Update Date | 03/07/2025
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Provider Practice Location Address
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Address Line | 4505 ALLSTATE DR STE 222
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City | RIVERSIDE
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State | CA
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Zip | 92501-1775
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Country | US
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Telephone | 951-899-5741
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Fax | 909-600-0186
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Provider Business Mailing Address
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Address Line | 4505 ALLSTATE DR STE 222
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City | RIVERSIDE
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State | CA
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Zip | 92501-1775
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Country | US
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Telephone | 951-899-5741
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Fax |
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Authorized Official
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Title or Position | CFO
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Name | MR. PAUL S ARNOLD
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Credential |
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Telephone | 951-899-5741
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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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Taxonomy #2
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number |
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License Number State |
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