Organization
SIERRA TRIBAL CONSORTIUM, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALI UMAR (EXECUTIVE DIRECTOR)
(559) 445-2691
Entity
Organization
Contact information
Practice address
610 W MCKINLEY AVE, FRESNO, CA 93728-1425
(559) 445-2691
Mailing address
610 W MCKINLEY AVE, FRESNO, CA 93728-1425
(559) 445-2691
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
09/30/2014
Last updated
09/30/2014
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