Organization
COUNTY OF RIVERSIDE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CHARITY DOUGLAS (DIRECTOR OF DEPARTMENT OF PUBLIC SO)
(951) 358-6995
Entity
Organization
Contact information
Practice address
4060 COUNTY CIRCLE DRIVE, RIVERSIDE, CA 92503
(951) 358-3030
Mailing address
4060 COUNTY CIRCLE DRIVE, RIVERSIDE, CA 92503
(951) 358-3030
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
—
171M00000X
Case Manager/Care Coordinator
—
—
172V00000X
Community Health Worker
—
—
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
09/11/2025
Last updated
09/11/2025
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