| Organization Name: | KNOLLWOOD PSYCHIATRIC HOSPITAL & CHEMICAL DEPENDENCY CENTER INC |
| NPI Number: | 1477633295 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | LISA KENNEDY (ASSIST. BUSINESS OFFICE MANAGER) |
| Mailing Address: | 5900 Brockton Ave Riverside |
| State: | CA US |
| Postal Code: | 925061862 |
| Phone Number: | 9512758400 |
| Fax Number: | 9517884136 |
| NPI Enumeration Date: | 10/16/2006 |
| NPI Last Update Date: | 02/06/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 283Q00000X |
| License Number: | 2500476 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Hospitals |
| Taxonomy Classification: | Psychiatric Hospital |
| Taxonomy Specialization: | |
| Taxonomy Definition: | An organization including a physical plant and personnel that provides multidisciplinary diagnostic and treatment mental health services to patients requiring the safety, security, and shelter of the inpatient or partial hospitalization settings. |