NPI 1053681387

California Department of Corrections

Organisation Psychiatric Residential Treatment Facility Clovis, CA

Practice location

Address: 2180 Ellery Ave, Clovis, CA 93611-0652
Phone: (559) 297-6748

Authorised official

Name: Matthew Cate
Title: Secretary
Phone: (877) 793-4473

Registered specialties

Psychiatric Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 323P00000X

Other Psychiatric Residential Treatment Facility providers in California →

Registry record

NPI: 1053681387
Entity type: Organization
NPI issued: 4 Jan 2012
Record last updated: 4 Jan 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.