| Calworks Moreno Valley | |
|
12625 Heacock St Moreno Valley CA 92553-0538 | |
| (951) 486-7715 | |
| Not Available |
| Full Name | Calworks Moreno Valley |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 12625 Heacock St, Moreno Valley, 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 |
|---|---|
| Calworks Moreno Valley 4095 County Circle Dr Riverside CA 92503-3410 Ph: (951) 358-6900 | Calworks Moreno Valley 12625 Heacock St Moreno Valley CA 92553-0538 Ph: (951) 486-7715 |
| NPI Number | 1225658198 |
|---|---|
| Provider Enumeration Date | 04/21/2020 |
| Last Update Date | 10/13/2022 |
| Certification Date | 10/13/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225658198 | NPI | - | NPPES |
| 3338 | Other | CA | STATE PROVIDER |
| 00033 | Other | CA | LEGAL ENTITY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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