Organization
CENTRAL VALLEY RECOVERY SERVICES, INC.
Active
Other names
Pine Recovery Center
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SHIRLEY KLUVER CATC (CHIEF EXECUTIVE OFFICER)
(559) 625-2995
Entity
Organization
Contact information
Practice address
120 W SCHOOL AVE, VISALIA, CA 93291-4925
(559) 625-4100
(559) 625-1970
Mailing address
120 W SCHOOL AVE, VISALIA, CA 93291-4925
(559) 625-4100
(559) 625-1970
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
540031BN
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
540031BN
STATE OF CALIFORNIA DEPARTMENT OF HEALTH CARE SERVICES LICENSE AND CERTIFICATION
CA
Enumeration date
03/02/2016
Last updated
03/02/2016
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