Healthcare Provider Details

I. General information

NPI: 1558286856
Provider Name (Legal Business Name): COUNTY OF RIVERSIDE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/13/2026
Last Update Date: 08/13/2026
Certification Date: 08/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

20581 HARVILL AVE
PERRIS CA
92570-4914
US

IV. Provider business mailing address

4095 COUNTY CIRCLE DR
RIVERSIDE CA
92503-3410
US

V. Phone/Fax

Practice location:
  • Phone: 951-683-6596
  • Fax: 800-499-3008
Mailing address:
  • Phone: 951-358-4501
  • Fax: 800-499-3008

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code320800000X
TaxonomyMental Illness Community Based Residential Treatment Facility
License Number
License Number State

VIII. Authorized Official

Name: DR. MATTHEW CHANG
Title or Position: DIRECTOR OF RUHS-BEHAVIORAL HEALTH
Credential: MD
Phone: 951-358-4501