Organization Name: | WESTCARE CALIFORNIA, INC. |
NPI Number: | 1003939539 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MAURICE LEE (REGIONAL VICE PRESIDENT) |
Mailing Address: | 10026 S Crawford Ave Dinuba |
State: | CA US |
Postal Code: | 936189208 |
Phone Number: | 5592514800 |
Fax Number: | 5594536969 |
NPI Enumeration Date: | 04/09/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QR0405X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Rehabilitation, Substance Use Disorder |
Taxonomy Definition: |