Organization
RIVERSIDE COUNTY DEPT OF MENTAL HEALTH
Active
Other names
Public Guardian
Organization subpart
No
Provider details
NPI number
Authorized official
JERRY WENGERD (DIRECTOR OF MENTAL HEALTH)
(951) 358-4500
Entity
Organization
Contact information
Practice address
3190 CHICAGO AVE, RIVERSIDE, CA 92507-3448
(951) 341-6440
(951) 341-6403
Mailing address
PO BOX 7659, RIVERSIDE, CA 92513
(951) 358-6900
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00033
LEGAL ENTITY
CA
Enumeration date
12/03/2007
Last updated
12/03/2007
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