California State University Fresno Foundation
Community/Behavioral Health in Fresno, CA. Organization (NPI-2).
NPI number1295171007
StatusActive
Last updated in NPPESMay 20, 2013
Details
- NPI
- 1295171007
- Entity type
- Organization (NPI-2)
- Legal business name
- California State University Fresno Foundation
- Organization subpart
- Yes
- Enumeration date
- May 20, 2013
- Last updated
- May 20, 2013
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 251S00000X | Community/Behavioral Health | 1-12-12031 | CA | Yes |
Other names
- Central California Autism Center (Former Legal Business Name)
Practice location
5048 N Jackson Ave M S Ls138Fresno, CA 93740-0001
Phone 559-278-6773
Mailing address
5048 N Jackson Ave M S Ls138Fresno, CA 93740-0001
Phone 559-278-6773
Authorized official
Amanda Adams
Executive Director
5592781028
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All 187 Community/Behavioral Health Agency providers in Fresno · All 23,426 providers in Fresno
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