Organization · NPI-2
County Of Riverside
Community/Behavioral Health · Moreno Valley, CA
NPI number1194890541
StatusActive
Last updated in NPPESSep 25, 2018
Details
- NPI
- 1194890541
- Entity type
- Organization (NPI-2)
- Legal business name
- County Of Riverside
- Organization subpart
- No
- Enumeration date
- Nov 21, 2006
- Last updated
- Sep 25, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 251S00000X | Community/Behavioral Health | – | – | Yes |
Other names
- Moreno Valley Children'S Interagency Program (Doing Business As)
Practice location
23119 Cottonwood AveBldg A 110
Moreno Valley, CA 92553-9661
Phone 951-413-5678 · Fax 951-413-5660
Mailing address
Po Box 7549Riverside, CA 92513-7549
Phone 951-358-6900 · Fax 951-358-6905
Authorized official
Matthew Chang
Director, Dept. Of Mental Health
9513584501
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