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Organization

SUPPORTED EDUCATION EMPLOYMENT SERVICES

Active
Parent organization
COUNTY OF FRESNO
Other names
Job Options
Organization subpart
Yes

Provider details

NPI number
Legal business name
COUNTY OF FRESNO
Authorized official
DAWAN UTECHT (DIRECTOR, DEPARTMENT OF BEHAVIORAL)
(559) 600-9193
Entity
Organization

Contact information

Practice address
4447 E KINGS CANYON ROAD, UNIT E, FRESNO, CA 93703
(559) 453-8637
Mailing address
4447 E KINGS CANYON ROAD, UNIT E, FRESNO, CA 93702
(559) 452-3463
(559) 452-3470

Taxonomy

Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000001007
CA
01
2150
COST CENTER
01
2170
COST CENTER
01
2179
COST CENTER
01
2189
COST CENTER
01
2193
COST CENTER
Enumeration date
01/18/2007
Last updated
12/17/2015
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