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Organization

COUNTY OF RIVERSIDE

Active
Other names
SAFE HAVEN
Organization subpart
No

Provider details

NPI number
Authorized official
MR. JERRY A WENGERD (DIRECTOR, DEPT. OF MENTAL HEALTH)
(951) 358-4501
Entity
Organization

Contact information

Practice address
769 W BLAINE ST, STE B, RIVERSIDE, CA 92507-3970
(951) 358-5370
(951) 358-4990
Mailing address
PO BOX 7549, RIVERSIDE, CA 92513-7549
(951) 358-6900
(951) 358-6905

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
33G4
CA
Enumeration date
12/15/2006
Last updated
08/22/2020
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