Organization
ANTIOCH SUBSTANCE ABUSE PROGRAMS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PROF. JEROME ESTER JACKSON (PRESIDENT)
(559) 307-3482
Entity
Organization
Contact information
Practice address
3838 N WEST AVE, FRESNO, CA 93705-2703
(559) 307-3482
(559) 294-0303
Mailing address
3838 N WEST AVE, FRESNO, CA 93705-2703
(559) 307-3482
(559) 294-0303
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
11/16/2009
Last updated
11/16/2009
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