Organization
KNOLLWOOD PSYCHIATRIC HOSPITAL & CHEMICAL DEPENDENCY CENTER INC
Active
Other names
Riverside Center for Behavioral Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LISA KENNEDY (ASSIST. BUSINESS OFFICE MANAGER)
(951) 275-8400
Entity
Organization
Contact information
Practice address
5900 BROCKTON AVE, RIVERSIDE, CA 92506-1862
(951) 275-8400
(951) 788-4136
Mailing address
5900 BROCKTON AVE, RIVERSIDE, CA 92506-1862
(951) 275-8400
(951) 788-4136
Taxonomy
Speciality
Code
Description
License number
State
283Q00000X
Psychiatric Hospital
Primary
2500476
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
HSP34130G
—
CA
05
—
HSP44130G
—
CA
Enumeration date
10/16/2006
Last updated
02/06/2014
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