Organization
RIVERSIDE CO. DEPT. OF MENTAL HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS MONIQUE T. LE BSN (REGISTERED NURSE III)
(714) 848-0585
Entity
Organization
Contact information
Practice address
4275 LEMON ST, RIVERSIDE, CA 92501-3844
(951) 955-8541
Mailing address
8567 SHADOW LN, FOUNTAIN VALLEY, CA 92708-5541
(714) 848-0585
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
554402
CA
Other
Enumeration date
02/06/2007
Last updated
08/22/2020
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