Organization Name: | RIVERSIDE COUNTY MENTAL HEALTH |
NPI Number: | 1013298553 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | SOFIA ELENA GONZALES (MENTAL HEALTH COUNSELOR) |
Mailing Address: | 47825 Oasis St Indio |
State: | CA US |
Postal Code: | 922016950 |
Phone Number: | 7608997427 |
Fax Number: | |
NPI Enumeration Date: | 08/29/2011 |
NPI Last Update Date: | 08/29/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |