| Ravenwood | |
|
28844 Somme Ct Menifee CA 92584-8974 | |
| (951) 378-8552 | |
| Not Available |
| Full Name | Ravenwood |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 28844 Somme Ct, Menifee, California |
| Authorized Official Name and Position | Paulette Ann Gorsuch (DIRECTOR) |
| Authorized Official Contact | 9513788552 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ravenwood 28844 Somme Ct Menifee CA 92584-8974 Ph: (951) 378-8552 | Ravenwood 28844 Somme Ct Menifee CA 92584-8974 Ph: (951) 378-8552 |
| NPI Number | 1831412477 |
|---|---|
| Provider Enumeration Date | 03/10/2010 |
| Last Update Date | 03/10/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831412477 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (NU) | Primary |
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