Organization
BH-TC OPCO LLC
Active
Other names
Jackson House Tulare
Organization subpart
No
Provider details
NPI number
Authorized official
CHAD ENGBRECHT (CHIEF DEVELOPMENT OFFICER)
(858) 254-2510
Entity
Organization
Contact information
Practice address
1168 LELAND AVE, TULARE, CA 93274-7811
(619) 507-6385
Mailing address
7050 PARKWAY DR, LA MESA, CA 91942-1535
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
10/19/2022
Last updated
10/19/2022
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