Provider Demographics
NPI:1316311350
Name:INSTITUTE FOR BEHAVIORAL HEALTH
Entity type:Organization
Organization Name:INSTITUTE FOR BEHAVIORAL HEALTH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROGRAM SUPERVISOR
Authorized Official - Prefix:
Authorized Official - First Name:TERESA
Authorized Official - Middle Name:
Authorized Official - Last Name:OROZCO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:760-898-1182
Mailing Address - Street 1:1118 W BLAINE ST
Mailing Address - Street 2:101
Mailing Address - City:RIVERSIDE
Mailing Address - State:CA
Mailing Address - Zip Code:92507-7687
Mailing Address - Country:US
Mailing Address - Phone:760-898-1182
Mailing Address - Fax:
Practice Address - Street 1:410 ALABAMA ST
Practice Address - Street 2:107
Practice Address - City:REDLANDS
Practice Address - State:CA
Practice Address - Zip Code:92373-8088
Practice Address - Country:US
Practice Address - Phone:909-289-1041
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-11-13
Last Update Date:2015-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty