Riverside Unversity Behavioral Health
NPI #1013424522 in Perris, California
Provider Information
- NPI Number
- 1013424522
- Entity Type
- Organization
- Organization Name
- Riverside Unversity Behavioral Health
- Primary Specialty
- Clinic/Center - Adult Mental Health
- Enumeration Date
- Jan 5, 2018
- Last Updated
- Jan 5, 2018
Practice Location
- Address
- 1688 N PERRIS BLVD STE L6-11
- City
- Perris
- State
- California
- ZIP Code
- 92571-4709
- Phone
- (951) 443-2200
Authorized Official
- Name
- MR. THADDEUS A WICKI, MFT
- Title
- SUPERVISOR
- Phone
- (951) 443-2200
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Adult Mental Health — Adult Mental Health |
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