County of Riverside
Organization Active NPI Community/Behavioral Health Agency · Indio, CA
NPI 1417320060 · NPPES record last updated Nov 4, 2015
Key facts
- NPI
- 1417320060
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Behavioral Health Agency 251S00000X
- Legal business name
- COUNTY OF RIVERSIDE
- Practice address
- 47940 Arabia St
Indio, CA 92201-6828 - Phone
- (951) 955-1503
- NPI assigned
- Nov 4, 2015
- Organization subpart
- No
Authorized official
- Name
- Jerry Wengerd
- Title
- Director of Mental Health
- Phone
- (951) 358-4500
Corporate family (same tax ID) 24
National Provider Directory
- Tax ID family
- Riverside County Dept
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | Yes |
Addresses
Primary practice location
47940 Arabia St
Indio, CA 92201-6828
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
- New Life SU - Indio Probation
Other providers in Indio, CA
- County of Riverside
- County of Riverside
- County of Riverside
- County of Riverside
- County of Riverside
- County of Riverside
- County of Riverside
- County of Riverside
- County of Riverside
- County of Riverside
All providers in Indio, 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 Nov 4, 2015. 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.