Temecula Su Day Reporting Center | |
41002 County Center Dr Ste. A Temecula CA 92591-6051 | |
(951) 955-1503 | |
Not Available |
Full Name | Temecula Su Day Reporting Center |
---|---|
Speciality | Community/behavioral Health |
Location | 41002 County Center Dr, Temecula, California |
Authorized Official Name and Position | Jerry Wengerd (DIRECTOR OF MENTAL HEALTH) |
Authorized Official Contact | 9513584500 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Temecula Su Day Reporting Center 4095 County Circle Dr Riverside CA 92503-3410 Ph: (951) 358-6900 | Temecula Su Day Reporting Center 41002 County Center Dr Ste. A Temecula CA 92591-6051 Ph: (951) 955-1503 |
NPI Number | 1710361688 |
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Provider Enumeration Date | 07/10/2015 |
Last Update Date | 07/10/2015 |
Identifier | Type | State | Issuer |
---|---|---|---|
1710361688 | NPI | - | NPPES |
00033 | Other | CA | LEGAL ENTITY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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