Organization
BLACK WELLNESS & PROSPERITY CENTER
Active
Other names
BLACK Wellness & Prosperity Center
Organization subpart
No
Provider details
NPI number
Authorized official
SHANTAY RENEE DAVIES-BALCH (PRESIDENT & CEO)
(559) 790-1905
Entity
Organization
Contact information
Practice address
2201 CALAVERAS ST, FRESNO, CA 93721-1103
(559) 478-5912
Mailing address
2201 CALAVERAS ST, FRESNO, CA 93721-1103
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
261Q00000X
Clinic/Center
—
—
374J00000X
Doula
Primary
—
—
Other
Enumeration date
06/01/2020
Last updated
02/26/2025
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