Provider Demographics
NPI:1669917548
Name:STRIDES LLC
Entity type:Organization
Organization Name:STRIDES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:RHEA
Authorized Official - Middle Name:SHONTEE
Authorized Official - Last Name:TURNER
Authorized Official - Suffix:
Authorized Official - Credentials:BA, CATC III
Authorized Official - Phone:909-205-5742
Mailing Address - Street 1:8424 GREAT SMOKEY AVE
Mailing Address - Street 2:
Mailing Address - City:DESERT HOT SPRINGS
Mailing Address - State:CA
Mailing Address - Zip Code:92240-7707
Mailing Address - Country:US
Mailing Address - Phone:909-205-5742
Mailing Address - Fax:
Practice Address - Street 1:8424 GREAT SMOKEY AVE
Practice Address - Street 2:
Practice Address - City:DESERT HOT SPRINGS
Practice Address - State:CA
Practice Address - Zip Code:92240-7707
Practice Address - Country:US
Practice Address - Phone:909-205-5742
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-12-30
Last Update Date:2016-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes324500000XResidential Treatment FacilitiesSubstance Abuse Rehabilitation Facility