Provider Demographics
NPI:1831438001
Name:ENA RIOS CORP
Entity type:Organization
Organization Name:ENA RIOS CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:ENA
Authorized Official - Middle Name:GLADYS
Authorized Official - Last Name:RIOS
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:925-212-0278
Mailing Address - Street 1:140 MAYHEW WAY STE 300
Mailing Address - Street 2:
Mailing Address - City:PLEASANT HILL
Mailing Address - State:CA
Mailing Address - Zip Code:94523-4398
Mailing Address - Country:US
Mailing Address - Phone:925-212-0278
Mailing Address - Fax:707-746-5294
Practice Address - Street 1:140 MAYHEW WAY STE 300
Practice Address - Street 2:
Practice Address - City:PLEASANT HILL
Practice Address - State:CA
Practice Address - Zip Code:94523-4398
Practice Address - Country:US
Practice Address - Phone:925-212-0278
Practice Address - Fax:707-746-5294
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-02-07
Last Update Date:2023-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty