Organization
FAMILIES FIRST
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KATRINA AMBROSE (MENTAL HEALTH CLINICAN)
(559) 907-4275
Entity
Organization
Contact information
Practice address
7080 N MARKS AVE STE 104, FRESNO, CA 93711-0288
(559) 907-4275
(559) 248-8555
Mailing address
7080 N MARKS AVE STE 104, FRESNO, CA 93711-0288
(559) 907-4275
(559) 248-8555
Taxonomy
Speciality
Code
Description
License number
State
302F00000X
Exclusive Provider Organization
Primary
IMF-48553
CA
Other
Enumeration date
01/25/2007
Last updated
08/11/2008
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