| Community Service Support | |
|
1688 N Perris Blvd Ste L4 Perris CA 92571-4701 | |
| (951) 715-5050 | |
| Not Available |
| Full Name | Community Service Support |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1688 N Perris Blvd Ste L4, Perris, California |
| Authorized Official Name and Position | Matthew Chang (DIRECTOR RUHS - BEHAVIORAL HEALTH) |
| Authorized Official Contact | 9513584500 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Community Service Support 4095 County Circle Dr Riverside CA 92503-3410 Ph: (951) 358-6900 | Community Service Support 1688 N Perris Blvd Ste L4 Perris CA 92571-4701 Ph: (951) 715-5050 |
| NPI Number | 1427454339 |
|---|---|
| Provider Enumeration Date | 11/05/2014 |
| Last Update Date | 09/09/2022 |
| Certification Date | 09/09/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427454339 | NPI | - | NPPES |
| 00033 | Other | CA | LEGAL ENTITY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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