Organization
RIVERSIADE COUNTY DEPT. OF MENTAL HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. THERESA P FARJALLA M.D. (PSYCHIATRIST)
(951) 955-4545
Entity
Organization
Contact information
Practice address
4275 LEMON ST, RIVERSIDE, CA 92501-3844
(951) 955-8541
Mailing address
9461 FLICKER AVE, FOUNTAIN VALLEY, CA 92708-6543
(714) 962-1040
Taxonomy
Speciality
Code
Description
License number
State
311Z00000X
Custodial Care Facility
Primary
A37158
CA
Other
Enumeration date
03/16/2007
Last updated
08/22/2020
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