| Department Of Mental Health | |
|
4095 County Circle Dr Riverside CA 92503-3410 | |
| (951) 358-4613 | |
| (951) 358-6868 |
| Full Name | Department Of Mental Health |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 4095 County Circle Dr, Riverside, California |
| Authorized Official Name and Position | Jerry A Wengerd (DIRECTOR, DEPT. OF MENTAL HEALTH) |
| Authorized Official Contact | 9513584500 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Department Of Mental Health Po Box 7549 Riverside CA 92513-7549 Ph: (951) 358-6900 | Department Of Mental Health 4095 County Circle Dr Riverside CA 92503-3410 Ph: (951) 358-4613 |
| NPI Number | 1033289806 |
|---|---|
| Provider Enumeration Date | 11/09/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033289806 | NPI | - | NPPES |
| 33BH | Medicaid | CA | |
| 00F33 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 00033 (California) | Primary |
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