Organization
COUNTY OF FRESNO
Active
Other names
Fresno County Adult Outpatient
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN LEIGH HOLT LMFT (DIRECTOR)
(559) 600-9058
Entity
Organization
Contact information
Practice address
4441 E CESAR CHAVEZ BLVD, FRESNO, CA 93702-3604
(559) 253-9318
Mailing address
4441 E CESAR CHAVEZ BLVD, FRESNO, CA 93702-3604
(559) 253-9318
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
000001044
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000001044
—
CA
01
—
2100
COST CENTER
—
Enumeration date
01/18/2007
Last updated
11/18/2024
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