Organization · NPI-2

A & S Innovations LLC Dovewood Recovery Haven

Nurse Practitioner, Psych/Mental Health · Fresno, CA

NPI number1801581145

StatusActive

Last updated in NPPESApr 11, 2023

Details

NPI: 1801581145
Entity type: Organization (NPI-2)
Legal business name: A & S Innovations LLC Dovewood Recovery Haven
Organization subpart: No
Enumeration date: Apr 11, 2023
Certification date: Apr 11, 2023
Last updated: Apr 11, 2023

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
363LP0808X	Nurse Practitioner, Psych/Mental Health	–	–	Yes
103TA0400X	Psychologist, Addiction (Substance Use Disorder)	–	–
103TB0200X	Psychologist, Cognitive & Behavioral	–	–
103TC1900X	Psychologist, Counseling	–	–
163WA0400X	Registered Nurse, Addiction (Substance Use Disorder)	–	–

Practice location

267 W Dovewood Ln
Fresno, CA 93704-2030

Phone 760-492-7296

Mailing address

267 W Dovewood Ln
Fresno, CA 93704-2030

Phone 760-492-7296

Authorized official

Adam Castro
Owner
7604927296

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