NPI | 1831781343 |
---|---|
Other Name | HAZEL HOUSE |
Entity Type | Organization |
Authorized Contact | KEVIN DANTE JORDAN Executive Director 559-243-7002 |
Organization Subpart ? | Yes |
Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
Enumeration Date | 2021-02-05 |
Last Update Date | 2021-11-18 |