Provider First Line Business Practice Location Address:
31764 CASINO DR STE 300
Provider Second Line Business Practice Location Address:
RIVERSIDE COUNTY MENTAL HEALTH
Provider Business Practice Location Address City Name:
LAKE ELSINORE
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
92530-4571
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
951-471-4645
Provider Business Practice Location Address Fax Number:
951-471-4687
Provider Enumeration Date:
05/18/2006