Organization
MENTAL HEALTH SYSTEMS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CAROLYN KIDD (CBT FACILITATOR)
(559) 264-7521
Entity
Organization
Contact information
Practice address
2550 W CLINTON AVE, FRESNO, CA 93705-4201
(559) 264-7521
Mailing address
2022 DECATUR AVE, CLOVIS, CA 93611-8101
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
01/09/2015
Last updated
01/09/2015
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