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Organization

FRESNO COUNTY CHILDREN'S CRISIS ASSESSMENT INTERVENTION &RESOLUTION

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. DONNA SUE TAYLOR R.N. (INTERIM DEPUTY DIRECTOR)
(559) 453-5798
Entity
Organization

Contact information

Practice address
3147 N MILLBROOK AVE, FRESNO, CA 93703-1425
(559) 453-3860
Mailing address
3133 N MILLBROOK AVE, FRESNO, CA 93703-1425
(559) 453-8918

Taxonomy

Speciality
Code
Description
License number
State
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
0000010AP
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0000010AP
CA
01
2242
COST CENTER
CA
Enumeration date
03/02/2007
Last updated
08/22/2020
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