Organization
VITALIZE BEHAVIORAL HEALTH AND PSYCHOMETRICS INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JONATHON DAVID BAIRD PSYD (PRESIDENT/CEO)
(559) 801-8944
Entity
Organization
Contact information
Practice address
7265 N 1ST ST STE 103, FRESNO, CA 93720-2956
(559) 492-1560
(559) 234-0641
Mailing address
13264 E SAGINAW WAY, SANGER, CA 93657-9347
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
—
—
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
324500000X
Substance Abuse Rehabilitation Facility
—
—
Other
Enumeration date
11/16/2020
Last updated
06/12/2024
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