| Dragonfly Program | |
|
1690 W Shaw Ave Ste 201 Fresno CA 93711-3519 | |
| (595) 334-6442 | |
| (844) 587-6405 |
| Full Name | Dragonfly Program |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1690 W Shaw Ave Ste 201, Fresno, California |
| Authorized Official Name and Position | Sharon M. Ross (CHIEF OPERATING OFFICER) |
| Authorized Official Contact | 5597328086 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dragonfly Program 615 S Atwood St Visalia CA 93277-8302 Ph: (559) 732-8086 | Dragonfly Program 1690 W Shaw Ave Ste 201 Fresno CA 93711-3519 Ph: (595) 334-6442 |
| NPI Number | 1063093839 |
|---|---|
| Provider Enumeration Date | 04/14/2021 |
| Last Update Date | 08/13/2024 |
| Certification Date | 08/13/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063093839 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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