Organization · NPI-2
County Of Riverside
Community/Behavioral Health · Moreno Valley, CA
NPI number1225658198
StatusActive
Last updated in NPPESOct 13, 2022
Details
- NPI
- 1225658198
- Entity type
- Organization (NPI-2)
- Legal business name
- County Of Riverside
- Organization subpart
- No
- Enumeration date
- Apr 21, 2020
- Certification date
- Oct 13, 2022
- Last updated
- Oct 13, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 251S00000X | Community/Behavioral Health | – | – | Yes |
Other names
- Calworks Moreno Valley (Doing Business As)
Practice location
12625 Heacock StMoreno Valley, CA 92553-0538
Phone 951-486-7715
Mailing address
4095 County Circle DrRiverside, CA 92503-3410
Phone 951-358-6900
Authorized official
Matthew Chang
Director Ruhs - Behavioral Health
9513584500
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