Healthcare Provider Details

I. General information

NPI: 1073837571
Provider Name (Legal Business Name): EDUCERE, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/26/2010
Last Update Date: 03/26/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1592 11TH STREET SUITE G
REEDLEY CA
93654-2939
US

IV. Provider business mailing address

1592 11TH STREET SUITE G
REEDLEY CA
93654-2939
US

V. Phone/Fax

Practice location:
  • Phone: 559-999-2391
  • Fax: 559-229-0688
Mailing address:
  • Phone: 559-999-2319
  • Fax: 559-229-0688

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code251V00000X
TaxonomyVoluntary or Charitable Agency
License Number
License Number StateCA

VIII. Authorized Official

Name: DR. GWEN E. DAVEY
Title or Position: EXECUTIVE DIRECTOR
Credential: PH.D., LMFT
Phone: 559-999-2319