Basic Information
| Provider Information | |||||||||
| NPI: | 1114154010 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | COUNTY OF RIVERSIDE MENTAL HEALTH DEPARTMENT | ||||||||
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| Mailing Information | |||||||||
| Address1: | 232 1/4 S SADLER AVE | ||||||||
| Address2: | |||||||||
| City: | LOS ANGELES | ||||||||
| State: | CA | ||||||||
| PostalCode: | 900222377 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6268484010 | ||||||||
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| Practice Location | |||||||||
| Address1: | 10182 INDIANA AVE | ||||||||
| Address2: | |||||||||
| City: | RIVERSIDE | ||||||||
| State: | CA | ||||||||
| PostalCode: | 925035304 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9515092400 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 06/18/2009 | ||||||||
| LastUpdateDate: | 06/18/2009 | ||||||||
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| AuthorizedOfficialLastName: | PITTMAN-WILLIAMS | ||||||||
| AuthorizedOfficialFirstName: | ANGELA | ||||||||
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| AuthorizedOfficialTitleorPosition: | HUMAN RESOURCES CLERK-C | ||||||||
| AuthorizedOfficialTelephone: | 9513584608 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialNamePrefix: | MRS. | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 251B00000X | Y | Agencies | Case Management |
No ID Information.