Organization
COUNTY OF RIVERSIDE DEPARTMENT OF MENTAL HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JERRY WENGERD LCSW (DIRECTOR OF MENTAL HEALTH)
(951) 358-4501
Entity
Organization
Contact information
Practice address
9990 COUNTY FARM RD STE 6, RIVERSIDE, CA 92503-3542
(951) 358-6919
Mailing address
27506 HAZELHURST ST UNIT 1, MURRIETA, CA 92562-2882
Taxonomy
Speciality
Code
Description
License number
State
305S00000X
Point of Service
Primary
—
—
Other
Enumeration date
08/20/2009
Last updated
08/20/2009
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