Organization
CENTRAL VALLEY COMMUNITY SPORTS FOUNDATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TERANCE FRAZIER (PRESIDENT)
(559) 349-6965
Entity
Organization
Contact information
Practice address
4000 N CEDAR AVE, FRESNO, CA 93726-5267
(559) 349-6965
(707) 703-5794
Mailing address
4266 N COLLEGE AVE, FRESNO, CA 93704-3844
(559) 349-6965
(707) 703-5794
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
251V00000X
Voluntary or Charitable Agency
Primary
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
01/30/2025
Last updated
01/30/2025
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