# CA RMH PHYSICIAN SERVICES, PC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** RIVERMENDHELATH
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1073994737
- **Legal business name:** RIVERMENDHELATH
- **Authorized official:** JEAN A DOCKERY (DIRECTOR OF RCM)
- **Authorized official phone:** (561) 253-4149

## Contact information

- **Practice address:** 23823 MALIBU RD \# 50-386, MALIBU, CA 90265-4628
- **Practice address phone:** (800) 366-8101
- **Practice address fax:** (561) 697-4345
- **Mailing address:** 2300 WINDY RIDGE PKWY SE STE 210, ATLANTA, GA 30339-5665
- **Mailing address phone:** (800) 366-8101
- **Mailing address fax:** (561) 697-4345

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2084A0401X | Addiction Medicine (Psychiatry & Neurology) Physician | — | NULL | Yes |
| 2084A0401X | Addiction Medicine (Psychiatry & Neurology) Physician | — | — | Yes |
| 2084P0800X | Psychiatry Physician | — | NULL | — |
| 2084P0800X | Psychiatry Physician | — | — | — |

## Other

- **Enumeration date:** 06/17/2015
- **Last updated:** 09/08/2017