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Linda Koenig
Substance Abuse Rehabilitation Facility in Riverside, California
NPI 1902074933

Linda Koenig is a Substance Abuse Rehabilitation Facility based in Riverside, CA. Linda Koenig practices in Riverside, CA. The NPI Number for Linda Koenig is 1902074933 and holds a License No. 330015CN (California).

The current practice location address for Linda Koenig is 8310 Baxter Way, Riverside, CA and can be reached out via phone at 951-689-9366 and via fax at 951-689-9366.

Location: 8310 Baxter Way, Riverside, CA, 92504-3441
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1902074933
Provider Name
Linda Koenig
Credential
Provider Entity Type
Individual
Gender
Female
Address
8310 Baxter Way, Riverside, CA, 92504-3441
Phone Number
951-689-9366
Fax Number
951-689-9366
Provider Enumeration Date
02/12/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
33352 01 CA DRUG-MEDICAL
institution
Provider Business Practice Location Address Details
Address
8310 Baxter Way
City
Riverside
State
California
Zip
92504-4302
Phone Number
951-689-9366
Fax Number
951-689-9366
person
Provider Business Mailing Address Details
Address
8310 Baxter Way
City
Riverside
State
California
Zip
92504-4302
Phone Number
951-689-9366
Fax Number
951-689-9366
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Substance Abuse Rehabilitation Facility
Speciality
-
Taxonomy
324500000X
License No.
330015CN (California)
Definition
A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.
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