Healthcare Provider Details

I. General information

NPI: 1679785901
Provider Name (Legal Business Name): RIVERSIDE COUNTY MENTAL HEALTH FOR CHILDREN
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/07/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9890 COUNTY FARM RD
RIVERSIDE CA
92503-3505
US

IV. Provider business mailing address

9890 COUNTY FARM RD
RIVERSIDE CA
92503-3505
US

V. Phone/Fax

Practice location:
  • Phone: 951-358-4850
  • Fax:
Mailing address:
  • Phone: 951-358-4850
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: CINDY LYNN CLAFLIN
Title or Position: MENTAL HEALTH PEER SUPPORT SPECIALI
Credential:
Phone: 951-358-4850