Organization
CENTRAL VALLEY RECOVERY SERVICES, INC..
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. RAMONA ROBERTSON C.A.S.II (EXECUTIVE DIRECTOR)
(559) 625-2995
Entity
Organization
Contact information
Practice address
320 W OAK AVE, VISALIA, CA 93291-4929
(559) 625-2995
(559) 625-3808
Mailing address
320 W OAK AVE, VISALIA, CA 93291-4929
(559) 625-2995
(559) 625-3808
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
540031DN
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
540031DN
PRGRAM CERTIFICATION NO.
CA
01
—
C545415
DRUG MEDICAL BILLING NUMB
CA
Enumeration date
02/26/2007
Last updated
09/11/2012
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