| County Of Riverside | |
|
450 E San Jacinto Ave Ste 1&3 Perris CA 92571-2833 | |
| (951) 955-6932 | |
| Not Available |
| Full Name | County Of Riverside |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 450 E San Jacinto Ave Ste 1&3, Perris, California |
| Authorized Official Name and Position | Matthew Chang (DIRECTOR OF BEHAVIORAL HEALTH) |
| Authorized Official Contact | 9513584500 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| County Of Riverside 4095 County Circle Dr Riverside CA 92503-3410 Ph: (951) 358-6900 | County Of Riverside 450 E San Jacinto Ave Ste 1&3 Perris CA 92571-2833 Ph: (951) 955-6932 |
| NPI Number | 1003576687 |
|---|---|
| Provider Enumeration Date | 12/23/2021 |
| Last Update Date | 12/23/2021 |
| Certification Date | 12/22/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003576687 | NPI | - | NPPES |
| 00033 | Other | CA | LEGAL ENTITY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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