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Organization
PROMESA BEHAVIORAL HEALTH
Active
Organization
PROMESA BEHAVIORAL HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LISA WEIGANT MA (CEO)
(559) 439-5437
Entity
Organization
Contact information
Practice address
740 W NORTH AVE, REEDLEY, CA 93654-2418
(559) 305-7100
(559) 637-1028
Mailing address
7475 N PALM AVE STE 107, FRESNO, CA 93711-5763
(559) 439-5437
(559) 439-5411
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
101044
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1044
—
CA
Enumeration date
06/07/2011
Last updated
06/07/2011
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