Organization · NPI-2

County Of Riverside

Community/Behavioral Health · Moreno Valley, CA

NPI number1114452760
StatusActive
Last updated in NPPESApr 23, 2025

Details

NPI
1114452760
Entity type
Organization (NPI-2)
Legal business name
County Of Riverside
Organization subpart
No
Enumeration date
Apr 20, 2017
Certification date
Apr 23, 2025
Last updated
Apr 23, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
251S00000X Community/Behavioral Health––Yes

Other names

  • Moreno Valley Sapt (Doing Business As)

Practice location

23119 Cottonwood Ave Ste A100
Moreno Valley, CA 92553-9661

Phone 951-955-3306

Mailing address

4095 County Circle Dr
Riverside, CA 92503-3410

Phone 951-358-6900

Authorized official

Matthew Chang
Director Of Mental Health
9513584500

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