Organization
RIVERSIDE COUNTY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CLAUDIA SMITH LCSW (ADMINISTRATOR)
(951) 955-1540
Entity
Organization
Contact information
Practice address
3625 14TH ST, RIVERSIDE, CA 92501-3815
(951) 955-1540
(951) 955-1610
Mailing address
3625 14TH ST, RIVERSIDE, CA 92501-3815
(951) 955-1540
(951) 955-1610
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
LMFT48591
CA
Other
Enumeration date
05/25/2016
Last updated
05/25/2016
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