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Organization

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Active
Other names
Ashlan House
Organization subpart
No

Provider details

NPI number
Authorized official
TARA FLORES (COMPLIANCE DIRECTOR)
(559) 317-5772
Entity
Organization

Contact information

Practice address
5675 E ASHLAN AVE, FRESNO, CA 93727-7220
(559) 228-9020
(559) 369-4649
Mailing address
1175 SHAW AVE STE 232, CLOVIS, CA 93612-3932
(559) 288-3548
(559) 369-4649

Taxonomy

Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary

Other

Enumeration date
10/06/2020
Last updated
08/17/2021
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