Organization
COMPREHENSIVE ADDICTION PROGRAM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROLAND DAVID KING (COUNSELOR 1)
(559) 264-5096
Entity
Organization
Contact information
Practice address
9080 E DINUBA AVE, SELMA, CA 93662-9405
(559) 477-3399
Mailing address
9080 E DINUBA AVE, SELMA, CA 93662-9405
(559) 477-3399
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
101YA04000X
CA
Other
Enumeration date
07/25/2016
Last updated
07/25/2016
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