| The River Community | |
|
23701 E East Fork Rd Azusa CA 91702-1477 | |
| (626) 250-3291 | |
| (626) 910-1380 |
| Full Name | The River Community |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 23701 E East Fork Rd, Azusa, California |
| Authorized Official Name and Position | Lynetta Hale (SENIOR DIRECTOR OF CLINICAL SERVICE) |
| Authorized Official Contact | 6263323145 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The River Community 223 E Rowland St Covina CA 91723-3147 Ph: (626) 332-3145 | The River Community 23701 E East Fork Rd Azusa CA 91702-1477 Ph: (626) 250-3291 |
| NPI Number | 1821126939 |
|---|---|
| Provider Enumeration Date | 03/01/2007 |
| Last Update Date | 03/01/2024 |
| Certification Date | 03/01/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821126939 | NPI | - | NPPES |
| 01839001 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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