Provider Demographics
NPI:1982730743
Name:WESTCARE
Entity Type:Organization
Organization Name:WESTCARE
Other - Org Name:WESTCARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:LEAD INTAKE COUNSELOR
Authorized Official - Prefix:MS
Authorized Official - First Name:TIFFANIE
Authorized Official - Middle Name:MICHELLE
Authorized Official - Last Name:WARD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:559-265-4800
Mailing Address - Street 1:315 N SAN PABLO AVE APT 102
Mailing Address - Street 2:
Mailing Address - City:FRESNO
Mailing Address - State:CA
Mailing Address - Zip Code:93701-1733
Mailing Address - Country:US
Mailing Address - Phone:559-264-9014
Mailing Address - Fax:
Practice Address - Street 1:315 N SAN PABLO AVE APT 102
Practice Address - Street 2:
Practice Address - City:FRESNO
Practice Address - State:CA
Practice Address - Zip Code:93701-1733
Practice Address - Country:US
Practice Address - Phone:559-264-9014
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-26
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA324500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes324500000XResidential Treatment FacilitiesSubstance Abuse Rehabilitation Facility