Dunamis, INC. Group Home
Substance Abuse Rehabilitation Facility in Fresno, CA. Organization (NPI-2).
NPI number1104245489
StatusActive
Last updated in NPPESApr 15, 2014
Details
- NPI
- 1104245489
- Entity type
- Organization (NPI-2)
- Legal business name
- Dunamis, INC. Group Home
- Organization subpart
- Yes
- Enumeration date
- Apr 15, 2014
- Last updated
- Apr 15, 2014
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 324500000X | Substance Abuse Rehabilitation Facility | 100091AN | CA | Yes |
Practice location
1509 N Maroa AveFresno, CA 93728-1815
Phone 559-441-1543
Mailing address
1509 N Maroa AveFresno, CA 93728-1815
Phone 559-441-1543
Authorized official
Orlando Gillam
Chief Executive Officer
5599812143
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