Valley Wide Recreation & Park District, NPI 1992890305
Children's Substance Abuse Rehabilitation Facility in San Jacinto, CA, US

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NPI number: what is it?

The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...

NPI 1992890305
NPI Entity Type Organization
Provider Name Valley Wide Recreation & Park District
Doing Business As
Enumeration Date September 30, 2009
Last Update Date September 30, 2009
Provider Location Address 901 W. Esplanade Ave., San Jacinto, CA, US
Provider Mailing Address P.o. Box 907, San Jacinto, CA, US, 92581
Is Sole Proprietor? No
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Organization Official

Official Name MR. Sam Goepp
Official Position GENERAL MANAGER
Phone 951-654-1505

Primary Taxonomy

Taxonomy Code

3245S0500X

Taxonomy Name Children's Substance Abuse Rehabilitation Facility
Classification

Substance Abuse Rehabilitation Facility

Group

Residential Treatment Facilities

License No. 330046AN
License State CA
Description A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of children with disorders in the use of drugs, alcohol, and other substances. Medical and supportive counseling services and education services are included.

Other Organization Name

Valley Wide Outreach Services
Doing Business As

Business Address

Valley Wide Recreation & Park District
901 W. Esplanade Ave.

San Jacinto, CA, US

Phone: 951-654-1505
Fax: 951-654-9927

Mailing Address

Valley Wide Recreation & Park District
P.o. Box 907
San Jacinto, CA, US
ZIP 92581
Phone: 951-654-1505
Fax: 951-654-9927

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