Fresno County Adolescent Day Treatment (adt- Edt) | |
3133 N Millbrook Ave Fresno CA 93703-1425 | |
(559) 453-8918 | |
Not Available |
Full Name | Fresno County Adolescent Day Treatment (adt- Edt) |
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Speciality | Clinic/center - Adolescent And Children Mental Health |
Location | 3133 N Millbrook Ave, Fresno, California |
Authorized Official Name and Position | Donna Sue Taylor (INTERIM DEPUTY DIRECTOR) |
Authorized Official Contact | 5594535798 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Fresno County Adolescent Day Treatment (adt- Edt) 3133 N Millbrook Ave Fresno CA 93703-1425 Ph: (559) 453-8918 | Fresno County Adolescent Day Treatment (adt- Edt) 3133 N Millbrook Ave Fresno CA 93703-1425 Ph: (559) 453-8918 |
NPI Number | 1740318484 |
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Provider Enumeration Date | 03/02/2007 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1740318484 | NPI | - | NPPES |
2240 | Other | COST CENTER |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM0855X | Clinic/center - Adolescent And Children Mental Health | (California) | Primary |
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