Organization
FOCUS FORWARD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
COREEN CAMPOS (CHIEF EXECUTIVE OFFICER)
(559) 600-4961
Entity
Organization
Contact information
Practice address
732 N. VAN NESS AVE, FRESNO, CA 93728
(559) 237-3101
(559) 600-4895
Mailing address
3333 E. AMERICAN AVE SUITE B, FRESNO, CA 93725
(559) 600-4961
(559) 600-4895
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251K00000X
Public Health or Welfare Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
251X00000X
Supports Brokerage Agency
—
—
320800000X
Mental Illness Community Based Residential Treatment Facility
—
—
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
—
—
324500000X
Substance Abuse Rehabilitation Facility
—
—
347E00000X
Transportation Broker
—
—
Other
Enumeration date
06/05/2018
Last updated
06/05/2018
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