Provider Demographics
NPI:1902029036
Name:COUNTY OF RIVERSIDE DEPT OF M. H.
Entity Type:Organization
Organization Name:COUNTY OF RIVERSIDE DEPT OF M. H.
Other - Org Name:ADULT SYSTEM OF CARE
Other - Org Type:Other Name
Authorized Official - Title/Position:BEHAVIORAL HEALTH SPECIALIST #
Authorized Official - Prefix:MRS
Authorized Official - First Name:ANNE
Authorized Official - Middle Name:BELL
Authorized Official - Last Name:PEAK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:951-358-7662
Mailing Address - Street 1:769 W BLAINE ST
Mailing Address - Street 2:SUITE B
Mailing Address - City:RIVERSIDE
Mailing Address - State:CA
Mailing Address - Zip Code:92507-3970
Mailing Address - Country:US
Mailing Address - Phone:951-358-7662
Mailing Address - Fax:951-358-4990
Practice Address - Street 1:769 W BLAINE ST
Practice Address - Street 2:SUITE B
Practice Address - City:RIVERSIDE
Practice Address - State:CA
Practice Address - Zip Code:92507-3970
Practice Address - Country:US
Practice Address - Phone:951-358-7662
Practice Address - Fax:951-358-4990
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-10
Last Update Date:2023-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health