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Riverside Univeristy Health System Department Of Mental Health

Community/Behavioral Health in Riverside, CA. Organization (NPI-2).

NPI number1699200345
StatusActive
Last updated in NPPESMay 1, 2017

Details

NPI
1699200345
Entity type
Organization (NPI-2)
Legal business name
Riverside Univeristy Health System Department Of Mental Health
Organization subpart
No
Enumeration date
May 1, 2017
Last updated
May 1, 2017

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
251S00000X Community/Behavioral Health––Yes

Practice location

1405 Spruce St Ste A
Riverside, CA 92507-2410

Phone 951-715-5050

Mailing address

1405 Spruce St Ste A
Riverside, CA 92507-2410

Phone 951-715-5050

Authorized official

Karina Zamora Montelongo
Behavioral Health Specialist II
9517155050

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