Organization
COUNTY OF RIVERSIDE
Active
Other names
MORENO VALLEY CHILDREN'S INTERAGENCY PROGRAM
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MATTHEW CHANG (DIRECTOR, DEPT. OF MENTAL HEALTH)
(951) 358-4501
Entity
Organization
Contact information
Practice address
23119 COTTONWOOD AVE, BLDG A 110, MORENO VALLEY, CA 92553-9661
(951) 413-5678
(951) 413-5660
Mailing address
PO BOX 7549, RIVERSIDE, CA 92513-7549
(951) 358-6900
(951) 358-6905
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
33AH
—
CA
Enumeration date
11/21/2006
Last updated
09/25/2018
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