Organization
CENTRAL VALLEY WELLNESS CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRITINY ROSE DILLARD (OFFICE MANAGER)
(559) 449-3419
Entity
Organization
Contact information
Practice address
1478 W SHAW AVE, FRESNO, CA 93711-3607
(559) 449-3419
(877) 396-3157
Mailing address
1478 W SHAW AVE, FRESNO, CA 93711-3607
(559) 449-3419
(877) 396-3157
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
03/06/2019
Last updated
03/06/2019
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