MEDICARE: MFI RECOVERY CENTER

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251S00000X	Community/Behavioral Health Agency

General Provider Information

NPI Number	:	1033412226
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MFI RECOVERY CENTER

Provider Business Mailing Address
First Line	:	5870 ARLINGTON AVE
Second Line	:	103
City	:	RIVERSIDE
State	:	CA
Zip	:	92504-2037
Country	:	US
Telephone Number	:	951-698-8558
Fax Number	:

Provider Business Practice Location Address
First Line	:	32593 RIVERSIDE DR
Second Line	:
City	:	LAKE ELSINORE
State	:	CA
Zip	:	92530-7802
Country	:	US
Telephone Number	:	951-698-8558
Fax Number	:

Authorized Official
Title or Position	:	EXECUTIVE DIRECTOR
Name	:	CRAIG LAMBDIN
Credential	:	MA
Telephone Number	:	951-698-8558

Provider Enumeration Date	:	12/10/2010
Last Update Date	:	04/14/2014

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