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NPI Code Detail

MEDICARE: RIVERSIDE CO. LATINO COMMISSION ON ALCOHOL AND DRUG ABUSE SVCS, INC.

MEDICARE: RIVERSIDE CO. LATINO COMMISSION ON ALCOHOL AND DRUG ABUSE SVCS, INC.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1324500000XSubstance Abuse Rehabilitation Facility330037ANCA
2261QM0801XMental Health Clinic/Center (Including Community Mental Health Center)

General Provider Information

NPI Number : 1477665651
Entity Type Code : Organization
Provider Name (Legal Business Name) : RIVERSIDE CO. LATINO COMMISSION ON ALCOHOL AND DRUG ABUSE SVCS, INC.
Provider Business Mailing Address
First Line : 1612 1ST ST
Second Line :
City : COACHELLA
State : CA
Zip : 92236-1407
Country : US
Telephone Number : 760-398-9000
Fax Number : 760-398-9790
Provider Business Practice Location Address
First Line : 46883 MONROE ST
Second Line :
City : INDIO
State : CA
Zip : 92201-6768
Country : US
Telephone Number : 760-398-9000
Fax Number : 760-398-9790
Authorized Official
Title or Position : EXECUTIVE DIRECTOR
Name : MR. LEONEL CONTRERAS SR.
Credential : CAS
Telephone Number : 760-398-9000
Provider Enumeration Date : 08/31/2006
Last Update Date : 10/15/2025

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Directions to “RIVERSIDE CO. LATINO COMMISSION ON ALCOHOL AND DRUG ABUSE SVCS, INC. ” Practice Location

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