Provider Demographics
NPI:1417752932
Name:REFRESHING MENTAL HEALTH NURSING CORPORATION
Entity type:Organization
Organization Name:REFRESHING MENTAL HEALTH NURSING CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:RITA
Authorized Official - Middle Name:
Authorized Official - Last Name:GOODE
Authorized Official - Suffix:
Authorized Official - Credentials:NP
Authorized Official - Phone:951-836-5503
Mailing Address - Street 1:41877 ENTERPRISE CIR N STE 200
Mailing Address - Street 2:
Mailing Address - City:TEMECULA
Mailing Address - State:CA
Mailing Address - Zip Code:92590-5628
Mailing Address - Country:US
Mailing Address - Phone:951-836-5503
Mailing Address - Fax:
Practice Address - Street 1:41877 ENTERPRISE CIR N STE 200
Practice Address - Street 2:
Practice Address - City:TEMECULA
Practice Address - State:CA
Practice Address - Zip Code:92590-5628
Practice Address - Country:US
Practice Address - Phone:951-836-5503
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-02-18
Last Update Date:2025-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Multi-Specialty