Organization
CALIFORNIA SERVICE DOG ACADEMY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MATTHEW CORSO (EXECUTIVE DIRECTOR)
(866) 382-9917
Entity
Organization
Contact information
Practice address
18701 LORT DR, VISALIA, CA 93292-9652
(866) 382-9917
Mailing address
18701 LORT DR, VISALIA, CA 93292-9652
Taxonomy
Speciality
Code
Description
License number
State
251V00000X
Voluntary or Charitable Agency
Primary
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Enumeration date
02/13/2019
Last updated
02/13/2019
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