Organization
2ND HOME INCORPORATED
Active
Other names
2nd Home Inc.-Sample Facility
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER FISH (DIRECTOR)
(559) 790-2271
Entity
Organization
Contact information
Practice address
2361 SAMPLE AVE, CLOVIS, CA 93611-5425
(559) 323-4502
Mailing address
1187 N WILLOW AVE STE 103, CLOVIS, CA 93611-4411
(559) 790-2271
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
06/14/2022
Last updated
06/29/2022
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