County of Riverside
Organization Active NPI Community/Behavioral Health Agency · Lake Elsinore, CA
NPI 1356748628 · NPPES record last updated Sep 9, 2022
Key facts
- NPI
- 1356748628
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Behavioral Health Agency 251S00000X
- Legal business name
- COUNTY OF RIVERSIDE
- Practice address
- 31764 Casino Dr
Suite 300
Lake Elsinore, CA 92530-4571 - Phone
- (951) 358-6900
- NPI assigned
- Dec 2, 2014
- Organization subpart
- No
Authorized official
- Name
- Dr. Matthew Chang
- Title
- Director Ruhs - Behavioral Health
- Phone
- (951) 358-4500
Corporate family (same tax ID) 24
National Provider Directory
- Tax ID family
- Riverside County Dept
Locations
31764 Casino Dr
Ste 300
Lake Elsinore, CA 92530
Phone (951) 471-4645
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | Yes |
Addresses
Primary practice location
31764 Casino Dr
Suite 300
Lake Elsinore, CA 92530-4571
Mailing address
4095 County Circle Dr
Riverside, CA 92503-3410
Phone (951) 358-6900
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00033 | Other | CA | LEGAL ENTITY |
Other names
- Lake Elsinore Family Care Center - Mental Health
Other providers in Lake Elsinore, CA
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- County of Riverside
- County of Riverside
- County of Riverside
- County of Riverside
- County of Riverside
- County of Riverside
- County of Riverside
All providers in Lake Elsinore, 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 Sep 9, 2022. 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.