OrganizationActive
Life Source Solutions, Inc
NPI 1609004563 · Adult Mental Health Clinic/Center · Riverside, CA
Provider details
- NPI number
- 1609004563
- Entity type
- Organization
- Primary specialty
- Adult Mental Health Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Avis Attaway, Owner(951) 522-9370
Specialties & taxonomies
Ambulatory Health Care Facilities
Ambulatory Health Care Facilities
Profile Score
Detailed profile(85/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
16 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
4107 Mission Inn Ave
Riverside, CA 92501
Phone: (951) 682-7143
Fax: (951) 684-1135
Street-level locationGet directions
Mailing address
Po Box 529
Riverside, CA 92501
Registry dates
- Enumerated
- 2009-06-30
- Last updated
- 2009-06-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.