| Adult Systems Of Care (homeless Programs) | |
|
1827 Atlanta Ave Suite D3 Riverside CA 92507-7419 | |
| (951) 955-8000 | |
| (951) 955-8010 |
| Full Name | Adult Systems Of Care (homeless Programs) |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1827 Atlanta Ave, Riverside, California |
| Authorized Official Name and Position | Jerry A Wengerd (DIRECTOR, DEPT. OF MENTAL HEALTH) |
| Authorized Official Contact | 9513584501 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Adult Systems Of Care (homeless Programs) Po Box 7549 Riverside CA 92513-7549 Ph: (951) 358-6900 | Adult Systems Of Care (homeless Programs) 1827 Atlanta Ave Suite D3 Riverside CA 92507-7419 Ph: (951) 955-8000 |
| NPI Number | 1285709139 |
|---|---|
| Provider Enumeration Date | 11/22/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285709139 | NPI | - | NPPES |
| 33EZ | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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