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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