Organization
EMINENCE HEALTHCARE KINGS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JUAN GARZA II (COO/PROGRAM DIRECTOR)
(559) 221-8100
Entity
Organization
Contact information
Practice address
601 E MARIPOSA ST, AVENAL, CA 93204-1413
(559) 386-5253
Mailing address
PO BOX 27707, FRESNO, CA 93729-7707
(559) 221-8100
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
01/09/2015
Last updated
01/09/2015
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