Organization
CALIFORNIA IMPACT SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSHUA MCWEALTH (EXECUTIVE DIRECTOR)
(559) 458-3947
Entity
Organization
Contact information
Practice address
1616 W SHAW AVE STE B4, FRESNO, CA 93711-3513
(559) 458-3947
Mailing address
1616 W SHAW AVE STE B, FRESNO, CA 93711-3513
(559) 458-3947
Taxonomy
Speciality
Code
Description
License number
State
251T00000X
PACE Provider Organization
Primary
—
—
Other
Enumeration date
09/03/2019
Last updated
09/03/2019
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