Sierra Meadows And Ascend Psychiatric Group INC.
Clinic/Center in Fresno, CA. Organization (NPI-2).
NPI number1104499656
StatusActive
Last updated in NPPESAug 15, 2023
Details
- NPI
- 1104499656
- Entity type
- Organization (NPI-2)
- Legal business name
- Sierra Meadows And Ascend Psychiatric Group INC.
- Organization subpart
- No
- Enumeration date
- Jul 22, 2021
- Certification date
- Aug 15, 2023
- Last updated
- Aug 15, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261Q00000X | Clinic/Center | – | – | Yes |
| 2084P0800X | Psychiatry & Neurology, Psychiatry | – | – |
Practice location
1791 E Fir Ave Ste 102Fresno, CA 93720-3840
Phone 559-326-7775
Mailing address
1791 E Fir Ave Ste 102Fresno, CA 93720-3840
Authorized official
Matthew Tatum
Ceo
5595939801
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