Promesa Behavioral Health | |
6052 S Juanche St Tranqillity CA 93668-0457 | |
(559) 698-7205 | |
(559) 698-7632 |
Full Name | Promesa Behavioral Health |
---|---|
Speciality | Community/behavioral Health |
Location | 6052 S Juanche St, Tranqillity, 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 |
---|---|
Promesa Behavioral Health 7475 N Palm Ave Ste 107 Fresno CA 93711-5763 Ph: (559) 439-5437 | Promesa Behavioral Health 6052 S Juanche St Tranqillity CA 93668-0457 Ph: (559) 698-7205 |
NPI Number | 1689954851 |
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Provider Enumeration Date | 08/19/2011 |
Last Update Date | 08/19/2011 |
Identifier | Type | State | Issuer |
---|---|---|---|
1689954851 | NPI | - | NPPES |
1044 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | 101044 (California) | Primary |