# SIERRA VISTA CHILD & FAMILY SERVICES

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1669011573
- **Authorized official:** MRS. STACEY SILVEIRA (DIRECTOR OF QUALITY ASSURANCE)
- **Authorized official phone:** (209) 523-4610

## Contact information

- **Practice address:** 2616 WHITMER CT, MODESTO, CA 95358-1238
- **Practice address phone:** (209) 523-4573
- **Mailing address:** 100 POPLAR AVE, MODESTO, CA 95354-0510
- **Mailing address phone:** (209) 523-4573
- **Mailing address fax:** (209) 550-5866

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 322D00000X | Emotionally Disturbed Childrens' Residential Treatment Facility | — | — | Yes |

## Other

- **Enumeration date:** 12/26/2019
- **Last updated:** 12/26/2019