| 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 |