NPI 1023781903
Crystal Ridge Recovery
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
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.