Organization
COUNTY OF RIVERSIDE
Active
Other names
CHILDREN'S EMERGENCY SCREENING UNIT
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JERRY A WENGERD (DIRECTOR, DEPT OF MENTAL HEALTH)
(951) 358-6900
Entity
Organization
Contact information
Practice address
9990 COUNTY FARM RD, RIVERSIDE, CA 92503-3542
(951) 358-7380
(951) 358-7306
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
—
33EF
—
CA
Enumeration date
11/22/2006
Last updated
06/05/2008
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