Organization
COUNTY OF RIVERSIDE
Active
Other names
TEMECULA MENTAL HEALTH SERVICES
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JERRY A WENGERD (DIRECTOR, DEPT. OF MENTAL HEALTH)
(951) 358-4501
Entity
Organization
Contact information
Practice address
41002 COUNTY CENTER DR, #320, TEMECULA, CA 92591-6027
(951) 600-6355
(951) 600-6365
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
—
33AM
—
CA
Enumeration date
11/21/2006
Last updated
08/22/2020
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