Provider Demographics
NPI:1902219751
Name:COUNTY OF RIVERSIDE MENTAL HEALTH
Entity Type:Organization
Organization Name:COUNTY OF RIVERSIDE MENTAL HEALTH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PEER SUPPORT SPECIALIST
Authorized Official - Prefix:MS
Authorized Official - First Name:HERLINDA
Authorized Official - Middle Name:CONTRERAS
Authorized Official - Last Name:MERAZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:951-575-8678
Mailing Address - Street 1:5256 MISSION BLVD
Mailing Address - Street 2:
Mailing Address - City:RIVERSIDE
Mailing Address - State:CA
Mailing Address - Zip Code:92509-4624
Mailing Address - Country:US
Mailing Address - Phone:951-955-0840
Mailing Address - Fax:
Practice Address - Street 1:5256 MISSION BLVD
Practice Address - Street 2:
Practice Address - City:RIVERSIDE
Practice Address - State:CA
Practice Address - Zip Code:92509-4624
Practice Address - Country:US
Practice Address - Phone:951-955-0840
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:COUNTY OF RIVERSIDE
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2014-06-10
Last Update Date:2014-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health