Department Of Behavioral Health
Case Management in Riverside, CA. Organization (NPI-2).
NPI number1700923968
StatusActive
Last updated in NPPESAug 22, 2020
Details
- NPI
- 1700923968
- Entity type
- Organization (NPI-2)
- Legal business name
- Department Of Behavioral Health
- Organization subpart
- No
- Enumeration date
- Jan 30, 2007
- Last updated
- Aug 22, 2020
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 251B00000X | Case Management | MMFC 37879 | CA | Yes |
Practice location
2164 Hackamore PlRiverside, CA 92506-4616
Phone 951-686-4909
Mailing address
2164 Hackamore PlRiverside, CA 92506-4616
Phone 951-686-4909
Authorized official
James Joseph Granger
Clinical Therapist II
9094219384
Is something wrong?
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All 31 Case Management Agency providers in Riverside · All 16,640 providers in Riverside
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