Organization
A NEW AWAKENING OF THE SAN JOAQUIN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JUAN CAMPOS (OPERATIONS DIRECTOR)
(559) 721-9279
Entity
Organization
Contact information
Practice address
1121 S DEE ANN AVE, FRESNO, CA 93727-0847
(559) 579-0935
Mailing address
4576 E SHIELDS AVE, FRESNO, CA 93726-7220
(559) 258-0249
(559) 258-0249
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
05/04/2020
Last updated
09/22/2025
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