Organization
KING OF KINGS COMMUNITY CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT SINGLETON CAS I (EXECUTIVE DIRECTOR)
(559) 442-0400
Entity
Organization
Contact information
Practice address
2302 S MARTIN L KING JR BLVD, FRESNO, CA 93706-4135
(559) 442-0400
(559) 442-0401
Mailing address
2302 S MARTIN L KING JR BLVD, FRESNO, CA 93706-4135
(559) 442-0400
(559) 442-0401
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
100024BN
CA
324500000X
Substance Abuse Rehabilitation Facility
Primary
100024BN
CA
Other
Enumeration date
05/24/2007
Last updated
10/12/2016
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