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Organization

COUNTY OF RIVERSIDE

Active
Other names
Indio MH Children's Clinic
Organization subpart
No

Provider details

NPI number
Authorized official
DR. MATTHEW CHANG (DIRECTOR RUHS - BEHAVIORAL HEALTH)
(951) 358-4500
Entity
Organization

Contact information

Practice address
46900 MONROE ST, A-101, INDIO, CA 92201-4827
(760) 863-8145
Mailing address
PO BOX 7659, RIVERSIDE, CA 92513

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00033
LEGAL ENTITY
CA
Enumeration date
08/04/2011
Last updated
09/09/2022
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