Provider Demographics
NPI:1073837571
Name:EDUCERE, INC.
Entity type:Organization
Organization Name:EDUCERE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:GWEN
Authorized Official - Middle Name:E
Authorized Official - Last Name:DAVEY
Authorized Official - Suffix:
Authorized Official - Credentials:PHD, LMFT
Authorized Official - Phone:559-999-2319
Mailing Address - Street 1:1592 11TH STREET
Mailing Address - Street 2:SUITE G
Mailing Address - City:REEDLEY
Mailing Address - State:CA
Mailing Address - Zip Code:93654-2939
Mailing Address - Country:US
Mailing Address - Phone:559-999-2319
Mailing Address - Fax:559-229-0688
Practice Address - Street 1:1592 11TH STREET
Practice Address - Street 2:SUITE G
Practice Address - City:REEDLEY
Practice Address - State:CA
Practice Address - Zip Code:93654-2939
Practice Address - Country:US
Practice Address - Phone:559-999-2391
Practice Address - Fax:559-229-0688
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-03-26
Last Update Date:2010-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA251V00000X, 251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
No251V00000XAgenciesVoluntary or Charitable