Promesa Behavioral Health | |
19191 Excelsior Ave Five Points CA 93624-0398 | |
(559) 884-2492 | |
Not Available |
Full Name | Promesa Behavioral Health |
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Speciality | Community/behavioral Health |
Location | 19191 Excelsior Ave, Five Points, California |
Authorized Official Name and Position | Lisa Weigant (CEO) |
Authorized Official Contact | 5594395437 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Promesa Behavioral Health 7475 N Palm Ave Ste 107 Fresno CA 93711-5763 Ph: (559) 439-5437 | Promesa Behavioral Health 19191 Excelsior Ave Five Points CA 93624-0398 Ph: (559) 884-2492 |
NPI Number | 1275839136 |
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Provider Enumeration Date | 02/09/2011 |
Last Update Date | 02/09/2011 |
Identifier | Type | State | Issuer |
---|---|---|---|
1275839136 | NPI | - | NPPES |
1044 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | 101044 (California) | Primary |