| Mid-county Multi-dimensional Family Therapy | |
|
308 E San Jacinto Ave Perris CA 92570-2878 | |
| (951) 358-6900 | |
| (951) 358-6905 |
| Full Name | Mid-county Multi-dimensional Family Therapy |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 308 E San Jacinto Ave, Perris, California |
| Authorized Official Name and Position | Matthew Chang (DIRECTOR RUHS - BEHAVIORAL HEALTH) |
| Authorized Official Contact | 9513586900 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mid-county Multi-dimensional Family Therapy Po Box 7549 Riverside CA 92513-7549 Ph: (951) 358-6900 | Mid-county Multi-dimensional Family Therapy 308 E San Jacinto Ave Perris CA 92570-2878 Ph: (951) 358-6900 |
| NPI Number | 1720148257 |
|---|---|
| Provider Enumeration Date | 12/12/2006 |
| Last Update Date | 09/09/2022 |
| Certification Date | 09/09/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720148257 | NPI | - | NPPES |
| 33GX | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (NU) | Primary |
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