Organization
JUST4KIDZ INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EUGENE TAYLOR (EXECUTIVE DIRECTOR)
(559) 275-1784
Entity
Organization
Contact information
Practice address
343 W MINARETS AVE, PINEDALE, CA 93650-1173
(559) 275-1784
Mailing address
3435 W SHAW AVE, 101, FRESNO, CA 93711-3234
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10AQ
—
CA
Enumeration date
02/21/2013
Last updated
02/21/2013
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