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Organization
PDR-PROMESA DEPENDENCY & REHABILITATION
Active
Organization
PDR-PROMESA DEPENDENCY & REHABILITATION
Active
Parent organization
PROMESA BEHAVIORAL HEALTH
Organization subpart
Yes
Provider details
NPI number
Legal business name
PROMESA BEHAVIORAL HEALTH
Authorized official
CINDY GONZALES (PROGRAM ADMINISTRATOR)
(559) 584-9033
Entity
Organization
Contact information
Practice address
607 N DOUTY ST, HANFORD, CA 93230-3912
(559) 584-9033
Mailing address
PO BOX 1161, HANFORD, CA 93232-1161
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
OP10-0184
CA
Other
Enumeration date
10/18/2010
Last updated
10/18/2010
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