| Panacea, Inc | |
|
1105 Divisadero St Suite 2 Fresno CA 93721-1143 | |
| (559) 241-0364 | |
| (559) 241-0342 |
| Full Name | Panacea, Inc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1105 Divisadero St, Fresno, California |
| Authorized Official Name and Position | Carolyn Golden (DIRECTOR) |
| Authorized Official Contact | 5592410364 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Panacea, Inc 1617 E Saginaw Way Suite 109 Fresno CA 93704-4458 Ph: (559) 241-0364 | Panacea, Inc 1105 Divisadero St Suite 2 Fresno CA 93721-1143 Ph: (559) 241-0364 |
| NPI Number | 1679758148 |
|---|---|
| Provider Enumeration Date | 01/03/2008 |
| Last Update Date | 01/03/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679758148 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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