Ccwf

NPI #1588934806 in Chowchilla, California

Provider Information

NPI Number: 1588934806
Entity Type: Organization
Organization Name: Ccwf
Primary Specialty: Case Management
Enumeration Date: Jan 3, 2012
Last Updated: Aug 16, 2013

Practice Location

Address: 23370 ROAD 22
City: Chowchilla
State: California
ZIP Code: 93610-8504
Phone: (559) 665-5531

Authorized Official

Name: DR. SIMONE B MAYO, PSYD
Title: CLINICAL PSYCHOLOGIST
Phone: (559) 992-7100

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Case Management	251B00000X	Primary

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