| Dhew Ind Hlth Sv Hlth Svs & Mntl Hlth Adm | |
|
9010 Magnolia Ave Riverside CA 92503-4431 | |
| (951) 509-8914 | |
| (602) 200-5383 |
| Full Name | Dhew Ind Hlth Sv Hlth Svs & Mntl Hlth Adm |
|---|---|
| Speciality | Clinic/center - Student Health |
| Location | 9010 Magnolia Ave, Riverside, California |
| Authorized Official Name and Position | Laura A Tillman (CMO) |
| Authorized Official Contact | 6022631674 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dhew Ind Hlth Sv Hlth Svs & Mntl Hlth Adm Po Box 95460 Cleveland OH 44101-0033 Ph: (602) 581-6088 | Dhew Ind Hlth Sv Hlth Svs & Mntl Hlth Adm 9010 Magnolia Ave Riverside CA 92503-4431 Ph: (951) 509-8914 |
| NPI Number | 1619377942 |
|---|---|
| Provider Enumeration Date | 08/22/2014 |
| Last Update Date | 05/26/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619377942 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QS1000X | Clinic/center - Student Health | (* (Not Available)) | Primary |
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