Provider Demographics
NPI:1275232670
Name:CENTRAL VALLEY BEHAVIORAL HEALTH SERVICES INC.
Entity Type:Organization
Organization Name:CENTRAL VALLEY BEHAVIORAL HEALTH SERVICES INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:
Authorized Official - Last Name:AYALA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:209-618-4529
Mailing Address - Street 1:2909 COFFEE RD STE 4
Mailing Address - Street 2:
Mailing Address - City:MODESTO
Mailing Address - State:CA
Mailing Address - Zip Code:95355-1751
Mailing Address - Country:US
Mailing Address - Phone:866-310-4673
Mailing Address - Fax:
Practice Address - Street 1:2909 COFFEE RD STE 4
Practice Address - Street 2:
Practice Address - City:MODESTO
Practice Address - State:CA
Practice Address - Zip Code:95355-1751
Practice Address - Country:US
Practice Address - Phone:866-310-4673
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-02-24
Last Update Date:2023-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health