Organization
A & S INNOVATIONS LLC DOVEWOOD RECOVERY HAVEN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ADAM CASTRO (OWNER)
(760) 492-7296
Entity
Organization
Contact information
Practice address
267 W DOVEWOOD LN, FRESNO, CA 93704-2030
(760) 492-7296
Mailing address
267 W DOVEWOOD LN, FRESNO, CA 93704-2030
(760) 492-7296
Taxonomy
Speciality
Code
Description
License number
State
103TA0400X
Addiction (Substance Use Disorder) Psychologist
—
—
103TB0200X
Cognitive & Behavioral Psychologist
—
—
103TC1900X
Counseling Psychologist
—
—
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
04/11/2023
Last updated
04/11/2023
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