Organization
ELEVATE COMMUNITY SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHRYN C WILBUR LCSW (EXECUTIVE DIRECTOR)
(585) 314-3914
Entity
Organization
Contact information
Practice address
2550 W CLINTON AVE UNIT 142, FRESNO, CA 93705-4209
(585) 314-3914
Mailing address
2550 W CLINTON AVE UNIT 142, FRESNO, CA 93705-4209
(585) 314-3914
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
10/05/2022
Last updated
10/05/2022
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