| Riverside Unversity Behavioral Health | |
|
1688 N Perris Blvd Ste L6-11 Perris CA 92571-4709 | |
| (951) 443-2200 | |
| (951) 443-2230 |
| Full Name | Riverside Unversity Behavioral Health |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 1688 N Perris Blvd Ste L6-11, Perris, California |
| Authorized Official Name and Position | Thaddeus A Wicki (SUPERVISOR) |
| Authorized Official Contact | 9514432200 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Riverside Unversity Behavioral Health 1688 N Perris Blvd Ste L6-11 Perris CA 92571-4709 Ph: (951) 443-2200 | Riverside Unversity Behavioral Health 1688 N Perris Blvd Ste L6-11 Perris CA 92571-4709 Ph: (951) 443-2200 |
| NPI Number | 1013424522 |
|---|---|
| Provider Enumeration Date | 01/05/2018 |
| Last Update Date | 01/05/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013424522 | NPI | - | NPPES |
| 101YM0800X | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
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