Organization
FRESNO COUNTY HISPANIC COMMISSION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DOMINGO ZAPATA B.A. (EXECUTIVE DIRECTOR)
(559) 268-6480
Entity
Organization
Contact information
Practice address
1803 BROADWAY ST, FRESNO, CA 93721-1047
(559) 268-6480
(559) 237-5122
Mailing address
1803 BROADWAY ST, FRESNO, CA 93721-1047
(559) 268-6480
(559) 237-5122
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
100006AN
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
100006AN
STATE LICENSE NUMBER
CA
Enumeration date
11/03/2006
Last updated
01/24/2012
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