| Riverside Substance Use Program | |
|
2085 Rustin Ave Riverside CA 92507-2498 | |
| (951) 955-2105 | |
| (951) 955-8060 |
| Full Name | Riverside Substance Use Program |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 2085 Rustin Ave, Riverside, California |
| Authorized Official Name and Position | Matthew Chang (DIRECTOR RUHS - BEHAVIORAL HEALTH) |
| Authorized Official Contact | 9513584501 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Riverside Substance Use Program 3525 Presley Ave Riverside CA 92507-4453 Ph: (951) 782-2400 | Riverside Substance Use Program 2085 Rustin Ave Riverside CA 92507-2498 Ph: (951) 955-2105 |
| NPI Number | 1316013972 |
|---|---|
| Provider Enumeration Date | 11/27/2006 |
| Last Update Date | 09/09/2022 |
| Certification Date | 09/09/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316013972 | NPI | - | NPPES |
| 3363 | Medicaid | CA | |
| 333363 | Other | CA | CADDS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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