| Agave Medical Fl Pa | |
|
16397 Road 37 Madera CA 93636-8224 | |
| (510) 871-5025 | |
| Not Available |
| Full Name | Agave Medical Fl Pa |
|---|---|
| Speciality | Psychologist |
| Location | 16397 Road 37, Madera, California |
| Authorized Official Name and Position | Michael Dominic Scahill (CEO) |
| Authorized Official Contact | 5108715025 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Agave Medical Fl Pa 16397 Road 37 Madera CA 93636-8224 Ph: () - | Agave Medical Fl Pa 16397 Road 37 Madera CA 93636-8224 Ph: (510) 871-5025 |
| NPI Number | 1790530822 |
|---|---|
| Provider Enumeration Date | 04/22/2024 |
| Last Update Date | 04/22/2024 |
| Certification Date | 04/22/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790530822 | NPI | - | NPPES |
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Network Provider Lcsw 2021 Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 209 E 7th St, Madera, CA 93638 Phone: 559-673-3508 Fax: 559-675-4999 | |
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Network Provider Mix 2023 Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 209 E 7th St, Madera, CA 93638 Phone: 559-673-3508 Fax: 559-675-4999 | |
Fresno Cournty West County Regional Mental Health Clinic Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 275 S Madera Ave, Suite 103, Madera, CA 93630 Phone: 559-846-7500 Fax: 559-846-5892 | |
Network Provider Phd 2020 Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 209 E 7th St, Madera, CA 93638 Phone: 559-673-3508 Fax: 559-675-4999 | |
Behavioral Health Services Alcohol Drug Progam Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1200 Maple St Ste 108, Madera, CA 93637 Phone: 559-675-4515 |