Organization
WESTCARE CALIFORNIA, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MAURICE LEE (REGIONAL VICE PRESIDENT)
(559) 251-4800
Entity
Organization
Contact information
Practice address
2855 W. WHITESBRIDGE ROAD, FRESNO, CA 93706
(559) 268-4800
(559) 268-0738
Mailing address
4944 E CLINTON WAY STE 101, FRESNO, CA 93727-1527
(559) 251-4800
(559) 453-6969
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
100010JN
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
100010JN
ADP LICENSE NUMBER
CA
Enumeration date
12/27/2007
Last updated
01/11/2008
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