County of Riverside
Organization Active NPI Community/Behavioral Health Agency · Blythe, CA
NPI 1285700435 · NPPES record last updated Dec 10, 2014
Key facts
- NPI
- 1285700435
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Behavioral Health Agency 251S00000X
- Legal business name
- COUNTY OF RIVERSIDE
- Practice address
- 1297 W Hobsonway
Blythe, CA 92225-1423 - Phone
- (760) 921-5019
- Fax
- (760) 921-5010
- NPI assigned
- Nov 28, 2006
- Organization subpart
- No
Authorized official
- Name
- Mr. Jerry A Wengerd
- Title
- Director, Dept. of Mental Health
- Phone
- (951) 358-4501
Corporate family (same tax ID) 24
National Provider Directory
- Tax ID family
- Riverside County Dept
Locations
1297 W Hobsonway
Blythe, CA 92225
Phone (760) 921-5000
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | Yes |
Addresses
Primary practice location
1297 W Hobsonway
Blythe, CA 92225-1423
Mailing address
3525 Presley Ave
Riverside, CA 92507-4453
Phone (951) 782-2400
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 333365 | Other | CA | CADDS |
| 3365 | Medicaid | CA |
Other names
- Blythe Substance Use Program
Other providers in Blythe, CA
- Kenneth Collins
- Angela Diane Copple
- Corrections and Rehabilitation-Headquarters
- Damian Cortez
- County of Riverside
- County of Riverside
- County of Riverside
- Veronica Covello
- Cyrus Yaghmai MD a Medical Corporation
- Carl Dahlstrom
All providers in Blythe, CA · Community/Behavioral Health Agency in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 10, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.