| California Mentor | |
|
790 S. State Street Suite #6 San Jacinto CA 92583 | |
| (951) 782-0040 | |
| Not Available |
| Full Name | California Mentor |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 790 S. State Street Suite #6, San Jacinto, California |
| Authorized Official Name and Position | Mary Patricia Rodenberg-roberts (VICE PRESIDENT & SENIOR ASST GENERA) |
| Authorized Official Contact | 9528362234 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| California Mentor 6600 France Avenue South Suite 350 Edina MN 55435 Ph: (800) 388-5150 | California Mentor 790 S. State Street Suite #6 San Jacinto CA 92583 Ph: (951) 782-0040 |
| NPI Number | 1922560879 |
|---|---|
| Provider Enumeration Date | 04/01/2019 |
| Last Update Date | 05/24/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922560879 | NPI | - | NPPES |
| 33PYNCX | Medicaid | CA |
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