Organization
CREATIVE ALTERNATIVES
Active
Parent organization
WAKE FOREST HOUSE
Other names
Wake Forest House
Organization subpart
Yes
Provider details
NPI number
Legal business name
WAKE FOREST HOUSE
Authorized official
MS. LISA JACOBS MPA (ASSISTANT EXECUTIVE DIRECTOR)
(209) 668-9361
Entity
Organization
Contact information
Practice address
974 WAKE FOREST CT, MERCED, CA 95348-2155
(209) 384-7020
Mailing address
2855 GEER RD, TURLOCK, CA 95382-1133
(209) 668-9361
(209) 668-0539
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
247203412
CA
Other
Enumeration date
01/24/2017
Last updated
04/14/2026
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