Organization
COUNTY OF FRESNO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DIASHA K. GOINS (PEER SUPPORT SPECIALIST)
(559) 761-8451
Entity
Organization
Contact information
Practice address
3133 N MILLBROOK AVE, FRESNO, CA 93703-1425
(559) 600-9180
Mailing address
3133 N MILLBROOK AVE, FRESNO, CA 93703-1425
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
07/14/2015
Last updated
07/14/2015
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