Organization
DEPARTMENT OF BEHAVIORAL HEALTH
Active
Parent organization
COUNTY OF FRESNO
Organization subpart
Yes
Provider details
NPI number
Legal business name
COUNTY OF FRESNO
Authorized official
DAINNA LYNN DRIVER (LVN)
(559) 600-3550
Entity
Organization
Contact information
Practice address
1221 FULTON MALL, FRESNO, CA 93721-1915
(559) 600-3550
Mailing address
PO BOX 11867, FRESNO, CA 93775-1867
(559) 600-3550
Taxonomy
Speciality
Code
Description
License number
State
310500000X
Mental Illness Intermediate Care Facility
Primary
VN242638
CA
Other
Enumeration date
01/15/2014
Last updated
01/15/2014
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