Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Providence Recovery Centers, Inc

Organization Substance Abuse Rehabilitation Facility · NPI 1114549144

Providence Recovery Centers, Inc is a Substance Abuse Rehabilitation Facility in Moreno Valley, California. Registered with an NPI since 2020.

In the registry since
2020
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

11165 Bonnie View Ave
Moreno Valley, CA 92555
Phone: (951) 221-1805
Fax: (951) 422-3384
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Substance Abuse Rehabilitation Facility (primary) Taxonomy 324500000X

Record details

NPI number1114549144
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Stacy Dorsey — Executive Director/Coo · (951) 221-1805
NPI enumeratedMay 13, 2020
Last updated in NPPESMay 13, 2020
Certification dateMay 13, 2020
Mailing address28728 Kalmia Ave, Moreno Valley, CA 92555

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