Healthcare Provider Details

I. General information

NPI: 1376406272
Provider Name (Legal Business Name): INLAND EMPOWER GROUP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/08/2025
Last Update Date: 12/08/2025
Certification Date: 12/07/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

44258 ALSACE LN
HEMET CA
92544-9165
US

IV. Provider business mailing address

44258 ALSACE LN
HEMET CA
92544-9165
US

V. Phone/Fax

Practice location:
  • Phone: 951-305-1285
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name: MR. ADAM WILSON
Title or Position: DIRECTOR
Credential:
Phone: 951-305-1285