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Organization

RIVERSIDE MENTAL HEALTH

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MARISELA GUTIERREZ (PROFESSIONAL STUDENT INTERN)
(951) 358-4390
Entity
Organization

Contact information

Practice address
10000 COUNTY FARM RD, RIVERSIDE, CA 92503-3508
(951) 358-4472
Mailing address
2531 NORTH REDLANDS AVENUE, PERRIS, CA 92571-4021
(951) 943-6936

Taxonomy

Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary

Other

Enumeration date
03/22/2007
Last updated
06/27/2008
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