MENTAL HEALTH SUBSTANCE ABUSE NPI 1861715922

NPI Details

MENTAL HEALTH SUBSTANCE ABUSE is a community behavioral health in Corona, CA. The provider is a private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. MENTAL HEALTH SUBSTANCE ABUSE NPI is 1861715922. The provider is registered as an organization entity type.

The provider's business location address is:

623 N MAIN ST STE D11
CORONA, CA
ZIP 92880-408
Phone: (951) 737-2962
Fax: (951) 737-2783

The provider's authorized official is Lupe (guadalupe) Madrigal .
The authorized official title is Supervisor and has the following contact phone number (951) 737-2962.

The enumeration date for this NPI number is 3/3/2010 and was last updated on 3/3/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available: