Organization
FRESNO COUNTY APOLLO RESIDENTIAL PROG.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GIANG T NGUYEN (DIRECTOR, FRESNO CO MENTAL HEALTH)
(559) 253-9180
Entity
Organization
Contact information
Practice address
205 N BLACKSTONE AVE, FRESNO, CA 93701-1914
(559) 498-0241
Mailing address
205 N BLACKSTONE AVE, FRESNO, CA 93701-1914
(559) 498-0241
Taxonomy
Speciality
Code
Description
License number
State
323P00000X
Psychiatric Residential Treatment Facility
Primary
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2160
COST CENTER
CA
Enumeration date
01/18/2007
Last updated
08/22/2020
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