Organization
JUST 4 KIDZ, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EUGENE ALTON TAYLOR (EXECUTIVE DIRECTOR)
(559) 389-3963
Entity
Organization
Contact information
Practice address
1802 E. CALIFORNIA AVE., FRESNO, CA 93706
(559) 389-3963
Mailing address
3435 W SHAW AVE, 101, FRESNO, CA 93711-3234
(559) 389-3963
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10AQ
—
CA
Enumeration date
10/04/2010
Last updated
10/08/2013
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