Organization · Type 2 NPI

Jerry L. Pettis Va Memorial Hospital

Psychiatric Hospital · Riverside, CA

NPI number 1629264775 Active

Practice location

19845 San Luis Rey Ln
Riverside, CA 92508-6494

Call (951) 653-7051 Map

Specialties and licenses

TaxonomyCodeLicense
Psychiatric Hospital Primary 283Q00000X219193 (CA)

Psychiatric Hospital: An organization including a physical plant and personnel that provides multidisciplinary diagnostic and treatment mental health services to patients requiring the safety, security, and shelter of the inpatient or partial hospitalization settings.

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About NPI 1629264775

Jerry L. Pettis Va Memorial Hospital's National Provider Identifier is 1629264775, issued on Sep 22, 2007. The primary taxonomy on file is Psychiatric Hospital (283Q00000X), and the practice location is in Riverside, CA. The record was last updated on Sep 22, 2007.