| California Mentor | |
|
6800 Indiana Ave Ste 260 Riverside CA 92506 | |
| (190) 973-6736 | |
| Not Available |
| Full Name | California Mentor |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 6800 Indiana Ave Ste 260, Riverside, California |
| Authorized Official Name and Position | Dana S Delman (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 9099487557 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| California Mentor 9166 Anaheim Pl Ste 200 Rancho Cucamonga CA 91730-8547 Ph: (909) 948-7557 | California Mentor 6800 Indiana Ave Ste 260 Riverside CA 92506 Ph: (190) 973-6736 |
| NPI Number | 1285141259 |
|---|---|
| Provider Enumeration Date | 12/29/2017 |
| Last Update Date | 06/29/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285141259 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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