Provider Demographics
NPI:1366011173
Name:INLAND BEHAVIORAL HEALTHCARE CENTER
Entity Type:Organization
Organization Name:INLAND BEHAVIORAL HEALTHCARE CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:LEKE
Authorized Official - Middle Name:
Authorized Official - Last Name:OYELADE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:951-667-9010
Mailing Address - Street 1:11810 PIERCE ST STE 202
Mailing Address - Street 2:
Mailing Address - City:RIVERSIDE
Mailing Address - State:CA
Mailing Address - Zip Code:92505-5173
Mailing Address - Country:US
Mailing Address - Phone:951-667-9010
Mailing Address - Fax:
Practice Address - Street 1:11810 PIERCE ST STE 202
Practice Address - Street 2:
Practice Address - City:RIVERSIDE
Practice Address - State:CA
Practice Address - Zip Code:92505-5173
Practice Address - Country:US
Practice Address - Phone:951-667-9010
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-06-24
Last Update Date:2021-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health