Provider First Line Business Practice Location Address:
47825 OASIS ST
Provider Second Line Business Practice Location Address:
RIVERSIDE COUNTY DEPT. OF MENTAL HEALTH
Provider Business Practice Location Address City Name:
INDIO
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
92201
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
760-863-8507
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
12/11/2006