HACIENDA VILLAGE

NPI # 

Practice Address:

1435 University Ave

Riverside, CA, 92507-4466

Practice Phone:

951-683-4056

Practice Fax:

951-788-5352

License Number:

336411358

License State:

CA

Taxonomy Grouping:

Ambulatory Health Care Facilities

Taxonomy Classification:

Clinic/Center

Taxonomy Specialization:

Adult Mental Health

Taxonomy Code:

261QM0850X