Organization
RCRMC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DENNIS JERRY L MD (MEDICAL DIRECTOR)
(951) 358-4700
Entity
Organization
Contact information
Practice address
9990 COUNTY FARM RD, RIVERSIDE, CA 92503-3542
(951) 358-4700
(951) 358-7101
Mailing address
30567 COCHRANE ST, HIGHLAND, CA 92346-6300
(714) 851-5347
Taxonomy
Speciality
Code
Description
License number
State
283Q00000X
Psychiatric Hospital
Primary
—
—
Other
Enumeration date
02/11/2008
Last updated
07/27/2010
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