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Organization
COUNTY OF RIVERSIDE
Active
Organization
COUNTY OF RIVERSIDE
Active
Other names
DEPARTMENT OF MENTAL HEALTH
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JERRY A WENGERD (DIRECTOR DEPARTMENT OF MENTAL HEAL)
(951) 358-6900
Entity
Organization
Contact information
Practice address
4095 COUNTY CIRCLE DR, RIVERSIDE, CA 92503-3410
(951) 358-4613
(951) 358-6868
Mailing address
PO BOX 7549, RIVERSIDE, CA 92513-7549
(951) 358-6900
(951) 358-6905
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
CA
251S00000X
Community/Behavioral Health Agency
00033
CA
Other
Enumeration date
11/14/2006
Last updated
05/16/2008
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