# PROMESA BEHAVIORAL HEALTH

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1134381452
- **Authorized official:** LISA WEIGANT MFT (CEO)
- **Authorized official phone:** (559) 439-5437

## Contact information

- **Practice address:** 2910-2920 E. OLIVE AVE., FRESNO, CA 93701
- **Practice address phone:** (559) 439-5437
- **Mailing address:** 7475 N PALM AVE STE 107, FRESNO, CA 93711-5763
- **Mailing address phone:** (559) 439-5437

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251S00000X | Community/Behavioral Health Agency | 1044 | CA | Yes |

## Other

- **Enumeration date:** 06/27/2008
- **Last updated:** 09/10/2010

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 101044 | — | CA |