NPI 1053451047

Riverside Co. Dept. of Mental Health

Organisation Mental Illness Intermediate Care Facility Riverside, CA

Practice location

Address: 4275 Lemon St, Riverside, CA 92501-3844
Phone: (951) 955-4545
Mailing address: 511 Spruce St, Riverside, CA 92507-3044

Authorised official

Name: Barbara J. Booker
Title: Psychiatric RN III
Phone: (951) 684-2882

Registered specialties

Mental Illness Intermediate Care Facility Primary

Nursing & Custodial Care Facilities Taxonomy 310500000X Licence 350830 (CA)

Other Intermediate Care Facility, Mental Illness providers in California →

Registry record

NPI: 1053451047
Entity type: Organization
NPI issued: 7 Feb 2007
Record last updated: 22 Aug 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.