Organization
COUNTY OF MADERA
Active
Other names
Chowchilla Recovery Center SUD
Organization subpart
No
Provider details
NPI number
Authorized official
CONNIE MORENO-PERAZA (DIRECTOR BEHAVIORAL HEALTH SERVICES)
(559) 395-0451
Entity
Organization
Contact information
Practice address
215 S 4TH ST, CHOWCHILLA, CA 93610-2818
(559) 395-0452
(559) 665-8641
Mailing address
PO BOX 1288, MADERA, CA 93639-1288
(559) 395-0451
(559) 675-7758
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
20AA
DRUG MEDICAL NUMBER
CA
Enumeration date
04/04/2007
Last updated
08/09/2024
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