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Organization
IMPACT BEHAVIORAL HEALTH AND RECOVERY CARE CORP
Active
Organization
IMPACT BEHAVIORAL HEALTH AND RECOVERY CARE CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSHUA MCWEALTH (CEO)
(559) 458-3947
Entity
Organization
Contact information
Practice address
1616 W SHAW AVE STE B2, FRESNO, CA 93711-3513
(559) 293-3174
(559) 570-0194
Mailing address
1616 W SHAW AVE STE B4, FRESNO, CA 93711-3513
(559) 570-0194
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
103T00000X
Psychologist
—
—
1041C0700X
Clinical Social Worker
Primary
—
—
106H00000X
Marriage & Family Therapist
—
—
167G00000X
Licensed Psychiatric Technician
—
—
Other
Enumeration date
04/12/2021
Last updated
04/12/2021
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