Provider Demographics
NPI:1124878954
Name:TOUCHSTONE RECOVERY CENTER, INC.
Entity type:Organization
Organization Name:TOUCHSTONE RECOVERY CENTER, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BILLING
Authorized Official - Prefix:
Authorized Official - First Name:HAYDEN
Authorized Official - Middle Name:
Authorized Official - Last Name:MOSER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:949-446-6281
Mailing Address - Street 1:1781 E FIR AVE STE 201
Mailing Address - Street 2:
Mailing Address - City:FRESNO
Mailing Address - State:CA
Mailing Address - Zip Code:93720-3866
Mailing Address - Country:US
Mailing Address - Phone:559-298-6711
Mailing Address - Fax:
Practice Address - Street 1:2850 SAN JOSE AVE
Practice Address - Street 2:
Practice Address - City:CLOVIS
Practice Address - State:CA
Practice Address - Zip Code:93611-6972
Practice Address - Country:US
Practice Address - Phone:559-298-6711
Practice Address - Fax:877-963-6329
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:TOUCHSTONE RECOVERY CENTER, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2024-03-25
Last Update Date:2024-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes324500000XResidential Treatment FacilitiesSubstance Abuse Rehabilitation Facility