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Organization

VITALIZE A PROFESSIONAL PSYCHOLOGY CORPORATION

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JONATHON BAIRD PSYD (CEO)
(559) 797-0116
Entity
Organization

Contact information

Practice address
155 E SHAW AVE STE 201, FRESNO, CA 93710-7619
(559) 492-1560
(559) 234-0641
Mailing address
155 E SHAW AVE STE 201, FRESNO, CA 93710-7619
(559) 492-1560
(559) 234-0641

Taxonomy

Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
324500000X
Substance Abuse Rehabilitation Facility

Other

Enumeration date
08/19/2024
Last updated
08/19/2024
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