# RIVERSIDE COUNTY DEPT OF MENTAL HEALTH

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Public Guardian
- **Organization subpart:** No

## Provider details

- **NPI number:** 1619159506
- **Authorized official:** JERRY WENGERD (DIRECTOR OF MENTAL HEALTH)
- **Authorized official phone:** (951) 358-4500

## Contact information

- **Practice address:** 3190 CHICAGO AVE, RIVERSIDE, CA 92507-3448
- **Practice address phone:** (951) 341-6440
- **Practice address fax:** (951) 341-6403
- **Mailing address:** PO BOX 7659, RIVERSIDE, CA 92513
- **Mailing address phone:** (951) 358-6900

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251B00000X | Case Management Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 12/03/2007
- **Last updated:** 12/03/2007

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 00033 | LEGAL ENTITY | CA |