| Center For Creative Transformation | |
|
5475 N. Fresno Street Suite 109 Fresno CA 93710-8333 | |
| (559) 435-7835 | |
| Not Available |
| Full Name | Center For Creative Transformation |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 5475 N. Fresno Street, Fresno, California |
| Authorized Official Name and Position | David E. Roy (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 5594357835 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Center For Creative Transformation 5475 N. Fresno Street Suite 109 Fresno CA 93710-8333 Ph: (559) 435-7835 | Center For Creative Transformation 5475 N. Fresno Street Suite 109 Fresno CA 93710-8333 Ph: (559) 435-7835 |
| NPI Number | 1104032135 |
|---|---|
| Provider Enumeration Date | 05/15/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104032135 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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