Organization
2ND HOME INCORPORATED
Active
Other names
2nd Home, Inc.-San Jose Facility
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER FISH (DIRECTOR)
(559) 790-2271
Entity
Organization
Contact information
Practice address
1797 SAN JOSE AVE, CLOVIS, CA 93611-3078
(559) 790-2271
(559) 321-8367
Mailing address
1187 N. WILLOW AVE. STE 103 #22, CLOVIS, CA 93611-4411
(559) 790-2271
(559) 321-8367
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
03/26/2020
Last updated
07/09/2020
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