| Promesa Behavioral Health-marks | |
|
7120 N Marks Ave # 110 Fresno CA 93711 | |
| (559) 439-5437 | |
| (559) 439-5411 |
| Full Name | Promesa Behavioral Health-marks |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 7120 N Marks Ave # 110, Fresno, California |
| Authorized Official Name and Position | Amanda Irene Reed (DIRECTOR) |
| Authorized Official Contact | 5593412394 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Promesa Behavioral Health-marks 7120 N Marks Ave # 110 Fresno CA 93711-0268 Ph: (559) 439-5437 | Promesa Behavioral Health-marks 7120 N Marks Ave # 110 Fresno CA 93711 Ph: (559) 439-5437 |
| NPI Number | 1154591121 |
|---|---|
| Provider Enumeration Date | 03/06/2008 |
| Last Update Date | 09/05/2024 |
| Certification Date | 09/05/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154591121 | NPI | - | NPPES |
| 101044 | Medicaid | CA | |
| 1044 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 100043AN (California) | Primary |
| 261QR0405X | Clinic/center - Rehabilitation, Substance Use Disorder | 1044 (California) | Secondary |
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