Organization
WESTCARE CALIFORNIA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LYNN PIMENTEL (DEPUTY ADMINISTRATOR)
(559) 265-4800
Entity
Organization
Contact information
Practice address
2772 MARTIN L KING JR BLVD, FRESNO, CA 93706-5345
(559) 265-4800
Mailing address
2772 MARTIN L KING JR BLVD, FRESNO, CA 93706-5345
Taxonomy
Speciality
Code
Description
License number
State
3245S0500X
Children's Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
11/18/2011
Last updated
11/18/2011
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