Organization
ADVANCING INDEPENDENCE, INC
Active
Parent organization
FAMILY OPTION, INC
Other names
Family Options, Advancing Independence, Inc
Organization subpart
Yes
Provider details
NPI number
Legal business name
FAMILY OPTION, INC
Authorized official
MR. JASON JAMES MASON LGHA (DIRECTOR OF PROGRAMS)
(559) 558-2875
Entity
Organization
Contact information
Practice address
4630 W JACQUELYN AVE STE 116, FRESNO, CA 93722-6431
(559) 275-2324
(559) 275-2329
Mailing address
4630 W JACQUELYN AVE STE 116, FRESNO, CA 93722-6431
(559) 275-2324
(559) 275-2329
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
3245S0500X
Children's Substance Abuse Rehabilitation Facility
Primary
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1801316252
—
CA
Enumeration date
06/26/2017
Last updated
06/16/2018
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