Organization
COUNTY OF RIVERSIDE
Active
Other names
DEPARTMENT OF MENTAL HEALTH
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JERRY A WENGERD (DIRECTOR DEPT OF MENTAL HEALTH)
(951) 358-4500
Entity
Organization
Contact information
Practice address
4095 COUNTY CIRCLE DR, RIVERSIDE, CA 92503-3410
(951) 358-4613
(951) 358-6868
Mailing address
PO BOX 7549, RIVERSIDE, CA 92513-7549
(951) 358-6900
(951) 358-6905
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
—
CA
251S00000X
Community/Behavioral Health Agency
00033
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00F33
—
CA
05
—
33BV
—
CA
Enumeration date
11/14/2006
Last updated
05/16/2008
Update your record
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