Organization
MOTHER CYNTHIA'S RESIDENTIAL CARE FACILITY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. PATRICIA ANN BUNTS (LISCENSEE/ADMINISTRATOR)
(209) 357-0613
Entity
Organization
Contact information
Practice address
1680 SHAFFER RD, ATWATER, CA 95301-4448
(209) 357-0613
Mailing address
P.O. BOX 1554, ATWATER, CA 95301
(209) 357-8249
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
247204044
CA
Other
Enumeration date
02/13/2008
Last updated
02/13/2008
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