Whalio Doctors

NPI 1023781903

Crystal Ridge Recovery

Organisation Substance Abuse Rehabilitation Facility San Bernardino, CA

Practice location

Address
2748 S Erin Way, San Bernardino, CA 92408-4184
Phone
(951) 288-7962
Fax
(909) 383-1388
Mailing address
2247 Tiffany Ln, Colton, CA 92324-9246

Authorised official

Name
Jeevaka Prasanna Weerasinghe
Title
President
Phone
(951) 288-7962

Registered specialties

Substance Abuse Rehabilitation Facility Primary
Residential Treatment Facilities Taxonomy 324500000X

Registry record

NPI
1023781903
Entity type
Organization
NPI issued
27 Jul 2021
Record last updated
27 Jul 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.