Organization
RIVERSIDE COUNTY DEPARTMENT OF MENTAL HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JERRY ALLEN WENGERD MSW (DIRECTOR)
(951) 358-4501
Entity
Organization
Contact information
Practice address
4095 COUNTY CIRCLE DR, RIVERSIDE, CA 92503-3410
(951) 358-4501
(951) 358-4513
Mailing address
4095 COUNTY CIRCLE DR, RIVERSIDE, CA 92503-3410
(951) 358-4501
(951) 358-4513
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
LCS6297
CA
Other
Enumeration date
03/23/2007
Last updated
08/22/2020
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