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Organization

CALIFORNIA STATE UNIVERSITY FRESNO FOUNDATION

Active
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Organization

CALIFORNIA STATE UNIVERSITY FRESNO FOUNDATION

Active
Parent organization
CALIFORNIA STATE UNIVERSITY FRESNO FOUNDATION
Other names
Central California Autism Center
Organization subpart
Yes

Provider details

NPI number
Legal business name
CALIFORNIA STATE UNIVERSITY FRESNO FOUNDATION
Authorized official
DR. AMANDA ADAMS PH.D. (EXECUTIVE DIRECTOR)
(559) 278-1028
Entity
Organization

Contact information

Practice address
5048 N JACKSON AVE M S LS138, FRESNO, CA 93740-0001
(559) 278-6773
Mailing address
5048 N JACKSON AVE M S LS138, FRESNO, CA 93740-0001
(559) 278-6773

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
1-12-12031
CA

Other

Enumeration date
05/20/2013
Last updated
05/20/2013
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