Organization
CALIFORNIA DEPARTMENT OF CORRECTIONS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MATTHEW CATE J.D. (SECRETARY)
(877) 793-4473
Entity
Organization
Contact information
Practice address
2180 ELLERY AVE, CLOVIS, CA 93611-0652
(559) 297-6748
Mailing address
2180 ELLERY AVE, CLOVIS, CA 93611-0652
(559) 297-6748
Taxonomy
Speciality
Code
Description
License number
State
323P00000X
Psychiatric Residential Treatment Facility
Primary
—
—
Other
Enumeration date
01/04/2012
Last updated
01/04/2012
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