Organization · Type 2 NPI

Life Source Solutions, Inc

Adult Mental Health Clinic/Center · Riverside, CA

NPI number 1609004563 Active

Practice location

4107 Mission Inn Ave
Riverside, CA 92501

Call (951) 682-7143 Map

Fax (951) 684-1135

Mailing address

PO Box 529
Riverside, CA 92501

Specialties and licenses

TaxonomyCodeLicense
Adult Mental Health Clinic/Center Primary 261QM0850XNone listed
Adolescent and Children Mental Health Clinic/Center 261QM0855XNone listed

Adult Mental Health Clinic/Center: An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.

2 other providers at this address

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About NPI 1609004563

Life Source Solutions, Inc's National Provider Identifier is 1609004563, issued on Jun 30, 2009. The primary taxonomy on file is Adult Mental Health Clinic/Center (261QM0850X), and the practice location is in Riverside, CA. The record was last updated on Jun 30, 2009.