Provider Demographics
NPI:1538561444
Name:RIVERSIDE COUNTY DEPT OF MENTAL HEALTH
Entity type:Organization
Organization Name:RIVERSIDE COUNTY DEPT OF MENTAL HEALTH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MHSS
Authorized Official - Prefix:
Authorized Official - First Name:SCOTT
Authorized Official - Middle Name:
Authorized Official - Last Name:MCCLUNG
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT
Authorized Official - Phone:951-358-4120
Mailing Address - Street 1:771 W BLAINE ST STE C
Mailing Address - Street 2:RIVERSIDE
Mailing Address - City:RIVERSIDE
Mailing Address - State:CA
Mailing Address - Zip Code:92507-3940
Mailing Address - Country:US
Mailing Address - Phone:951-358-4120
Mailing Address - Fax:951-358-4189
Practice Address - Street 1:771 W BLAINE ST STE C
Practice Address - Street 2:
Practice Address - City:RIVERSIDE
Practice Address - State:CA
Practice Address - Zip Code:92507-3940
Practice Address - Country:US
Practice Address - Phone:951-358-4120
Practice Address - Fax:951-358-4189
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-09-23
Last Update Date:2014-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management