| Indio Substance Use Program | |
|
83912 Avenue 45 Suite 9 Indio CA 92201-3338 | |
| (760) 347-0754 | |
| (760) 347-8507 |
| Full Name | Indio Substance Use Program |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 83912 Avenue 45, Indio, California |
| Authorized Official Name and Position | Jerry A Wengerd (DIRECTOR, DEPT. OF MENTAL HEALTH) |
| Authorized Official Contact | 9513584501 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Indio Substance Use Program 4095 County Circle Dr Riverside CA 92503-3410 Ph: (951) 358-6900 | Indio Substance Use Program 83912 Avenue 45 Suite 9 Indio CA 92201-3338 Ph: (760) 347-0754 |
| NPI Number | 1134295702 |
|---|---|
| Provider Enumeration Date | 11/27/2006 |
| Last Update Date | 12/10/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134295702 | NPI | - | NPPES |
| 3316 | Medicaid | CA | |
| 333316 | Other | CA | CADDS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
Riverside County Mental Health Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 47825 Oasis St, Indio, CA 92201 Phone: 760-899-7427 | |
Indio Su Day Reporting Center Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 46900 Monroe St, Suite A-101, Indio, CA 92201 Phone: 951-955-1503 | |
Oasis Rehabilitation Center Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 81840 Ave. 46, Suite 201, Indio, CA 92201 Phone: 760-347-0750 Fax: 760-863-8603 | |
Pacific Care Medical Group, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 81840 Avenue 46, Suite 103, Indio, CA 92201 Phone: 760-347-2602 | |
New Life Mh Probation Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 47940 Arabia St, Indio, CA 92201 Phone: 951-955-1503 | |
Juvenile Hall-indio Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 47665 Oasis St, Indio, CA 92201 Phone: 951-600-6801 |