Organization
EUREKA PROGRAM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VALETTE FARWELL (DIRECTOR)
(559) 321-1309
Entity
Organization
Contact information
Practice address
916 WATERMAN AVE, FRESNO, CA 93706-3762
(559) 321-1309
Mailing address
PO BOX 2631, FRESNO, CA 93745-2631
(559) 321-1309
Taxonomy
Speciality
Code
Description
License number
State
3245S0500X
Children's Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
02/15/2010
Last updated
08/24/2015
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