Organization · Type 2 NPI

2nd Home Incorporated

Mental Illness Community Based Residential Treatment Facility · Clovis, CA

NPI number 1144950080 Active

Practice location

2361 Sample Ave
Clovis, CA 93611-5425

Call (559) 323-4502 Map

Mailing address

1187 N Willow Ave Ste 103
Clovis, CA 93611-4411

Specialties and licenses

Taxonomy	Code	License
Mental Illness Community Based Residential Treatment Facility Primary	320800000X	None listed

Mental Illness Community Based Residential Treatment Facility: A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.

Another provider at this address

Maria Adilene Corona CisnerosMarriage & Family Therapist Clovis, CA NPI 1124405527

Other mental illness community based residential treatment facility providers in Clovis

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NPI record

NPI: 1144950080
Entity type: Organization (Type 2)
Issued: Jun 14, 2022
Last updated: Jun 29, 2022
Status: Active

Other names

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2nd Home Inc.-Sample Facility · doing business as
2nd Home Inc.-Sample Facility · doing business as

Authorized official

Jennifer Fish
Director
(559) 790-2271

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1144950080

2nd Home Incorporated's National Provider Identifier is 1144950080, issued on Jun 14, 2022. The primary taxonomy on file is Mental Illness Community Based Residential Treatment Facility (320800000X), and the practice location is in Clovis, CA. The record was last updated on Jun 29, 2022.