Organization
KING OF KINGS OUTPATIENT AND PERINATAL SERVICES PROGRAM
Active
Parent organization
KING OF KINGS COMMUNITY CENTER
Organization subpart
Yes
Provider details
NPI number
Legal business name
KING OF KINGS COMMUNITY CENTER
Authorized official
MR. DONALD WALKER CADC II CAS (INTERIM EXECUTIVE DIRECTOR)
(559) 266-6449
Entity
Organization
Contact information
Practice address
2302 S MARTIN L KING JR BLVD, FRESNO, CA 93706-4135
(559) 442-0400
Mailing address
2302 S MARTIN L KING JR BLVD, FRESNO, CA 93706-4135
(559) 442-0400
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
100024BN
CA
Other
Enumeration date
01/30/2017
Last updated
01/30/2017
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