Provider Demographics
NPI:1679785901
Name:RIVERSIDE COUNTY MENTAL HEALTH FOR CHILDREN
Entity Type:Organization
Organization Name:RIVERSIDE COUNTY MENTAL HEALTH FOR CHILDREN
Other - Org Name:INTERAGENCY SERVICES FOR FAMILIES
Other - Org Type:Other Name
Authorized Official - Title/Position:MENTAL HEALTH PEER SUPPORT SPECIALI
Authorized Official - Prefix:
Authorized Official - First Name:CINDY
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:CLAFLIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:951-358-4850
Mailing Address - Street 1:9890 COUNTY FARM RD
Mailing Address - Street 2:
Mailing Address - City:RIVERSIDE
Mailing Address - State:CA
Mailing Address - Zip Code:92503-3505
Mailing Address - Country:US
Mailing Address - Phone:951-358-4850
Mailing Address - Fax:
Practice Address - Street 1:9890 COUNTY FARM RD
Practice Address - Street 2:
Practice Address - City:RIVERSIDE
Practice Address - State:CA
Practice Address - Zip Code:92503-3505
Practice Address - Country:US
Practice Address - Phone:951-358-4850
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-07
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health