Organization
WEST CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AHMAD BAHRAMI (PROGRAM COORDINATOR)
(559) 237-4780
Entity
Organization
Contact information
Practice address
955 ROBINSON AVE, CLOVIS, CA 93612-5885
(559) 903-4889
Mailing address
955 ROBINSON AVE., CLOVIS, CA 93612
Taxonomy
Speciality
Code
Description
License number
State
3245S0500X
Children's Substance Abuse Rehabilitation Facility
Primary
—
CA
Other
Enumeration date
03/02/2007
Last updated
07/21/2022
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