Organization
INTEGRATED DISCHARGE TEAM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DAWAN UTECTH (DIRECTOR)
(559) 600-9193
Entity
Organization
Contact information
Practice address
4441 E KINGS CANYON RD, FRESNO, CA 93702-3604
(559) 600-8918
Mailing address
4441 E KINGS CANYON RD, FRESNO, CA 93702-3604
(559) 600-8918
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
CA
Other
Enumeration date
10/17/2014
Last updated
10/17/2014
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