Organization
COUNTY OF FRESNO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GIANG NGUYEN RN (DIRECTOR)
(559) 453-4099
Entity
Organization
Contact information
Practice address
2025 E DAKOTA AVE, FRESNO, CA 93726-4804
(559) 453-5755
Mailing address
2025 E DAKOTA AVE, FRESNO, CA 93726-4804
(559) 453-5755
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
MFC37536
CA
Other
Enumeration date
12/14/2006
Last updated
08/22/2020
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