Organization
ALTERNATIVES TO DOMESTIC VIOLENCE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELIZA WOOLFOLK (CHIEF EXECUTIVE OFFICER)
(951) 320-1370
Entity
Organization
Contact information
Practice address
4150 LATHAM ST, SUITE A, RIVERSIDE, CA 92501-1735
(951) 320-1370
Mailing address
PO BOX 910, RIVERSIDE, CA 92502-0910
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
07/06/2011
Last updated
07/06/2011
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