Organization
SIERRA MEADOWS BEHAVIORAL HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MATTHEW THOMAS TATUM (CEO)
(559) 326-7775
Entity
Organization
Contact information
Practice address
1747 N JASMINE AVE, CLOVIS, CA 93619-4282
(559) 593-9801
Mailing address
1781 E FIR AVE STE 102, FRESNO, CA 93720-3865
Taxonomy
Speciality
Code
Description
License number
State
323P00000X
Psychiatric Residential Treatment Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7209089
DHCS
CA
Enumeration date
04/27/2021
Last updated
08/19/2021
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