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Organization
FRESNO COUNTY YOUTH LINK
Active
Organization
FRESNO COUNTY YOUTH LINK
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DONNA SUE TAYLOR R.N. (INTERIM DEPUTY DIRECTOR)
(559) 453-5798
Entity
Organization
Contact information
Practice address
3133 N MILLBROOK AVE, FRESNO, CA 93703-1425
(559) 453-8918
Mailing address
3133 N MILLBROOK AVE, FRESNO, CA 93703-1425
(559) 453-8918
Taxonomy
Speciality
Code
Description
License number
State
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2229
COST CENTER
—
Enumeration date
03/01/2007
Last updated
08/22/2020
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