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Organization
GENERATION CHANGERS TITLE 1 COMMUNITY DEVELOPMENT CENTER
Active
Organization
GENERATION CHANGERS TITLE 1 COMMUNITY DEVELOPMENT CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JASON RODNEY SPENCER (EXECUTIVE DIRECTOR)
(559) 307-0850
Entity
Organization
Contact information
Practice address
740 FRESNO ST, FRESNO, CA 93706-3115
(559) 237-9066
(559) 237-9006
Mailing address
740 FRESNO ST, FRESNO, CA 93706-3115
(559) 307-0850
(559) 237-9006
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
251X00000X
Supports Brokerage Agency
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
—
—
Other
Enumeration date
04/15/2024
Last updated
05/10/2025
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