Organization
EXODUS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JULIA C ARMAS (RN)
(559) 246-1963
Entity
Organization
Contact information
Practice address
1685 N HOMSY AVE, CLOVIS, CA 93619-3725
(559) 246-1963
Mailing address
1685 N HOMSY AVE, CLOVIS, CA 93619-3725
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
163WPO808X
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
163WPO808X
TAXONOMY
CA
Enumeration date
03/30/2015
Last updated
03/30/2015
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