Organization
COUNTY OF RIVERSIDE DEPARTMENT OF MENTAL HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LINDA NICOLAS (SR. HUMAN RESOURCES CLERK-C)
(951) 358-4609
Entity
Organization
Contact information
Practice address
4000 ORANGE ST, RIVERSIDE, CA 92501-3613
(951) 955-4400
Mailing address
2096 W 29TH PL, LOS ANGELES, CA 90018-3034
Taxonomy
Speciality
Code
Description
License number
State
261QP2400X
Prison Health Clinic/Center
Primary
IMF 85468
CA
Other
Enumeration date
11/28/2016
Last updated
11/28/2016
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