Organization
COUNTY OF RIVERSIDE
Active
Other names
Mental health
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MARLISE CORDELIA HUCAKABEY (LVN)
(951) 600-6355
Entity
Organization
Contact information
Practice address
41002 COUNTY CENTER DR, STE#320, TEMECULA, CA 92591-6051
(951) 600-0635
Mailing address
41002 COUNTY CENTER DR, STE#320, TEMECULA, CA 92591-6051
(951) 600-0635
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
VN209162
CA
Other
Enumeration date
10/07/2016
Last updated
10/07/2016
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