| Fwdiop Inc | |
|
2261 Villa Ave Ste 106 Clovis CA 93612-4377 | |
| (559) 355-0089 | |
| Not Available |
| Full Name | Fwdiop Inc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 2261 Villa Ave Ste 106, Clovis, California |
| Authorized Official Name and Position | Shaun Tucker (PROGRAM MANAGER) |
| Authorized Official Contact | 5593550089 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fwdiop Inc 1111 E Herndon Ave Ste 211 Fresno CA 93720-3100 Ph: () - | Fwdiop Inc 2261 Villa Ave Ste 106 Clovis CA 93612-4377 Ph: (559) 355-0089 |
| NPI Number | 1164179610 |
|---|---|
| Provider Enumeration Date | 03/04/2022 |
| Last Update Date | 03/04/2022 |
| Certification Date | 03/04/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164179610 | NPI | - | NPPES |
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