| NPI | 1114288586 |
|---|---|
| Other Name | RIVERSIDE LIFE SERVICES |
| Entity Type | Organization |
| Authorized Contact | THOMAS MINAHAN Medical Director 951-340-1002 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QC1500X Clinic/Center, Community Health |
| Enumeration Date | 2012-06-01 |
| Last Update Date | 2012-06-01 |