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Organization

FRESNO COUNTY

Active
Other names
TAFT, Fresno County Older Adult MH Team
Organization subpart
No

Provider details

NPI number
Authorized official
SUSAN LEIGH HOLT (DIRECTOR)
(559) 600-9058
Entity
Organization

Contact information

Practice address
3688 E SHIELDS AVE, FRESNO, CA 93726-6922
(559) 253-9180
Mailing address
3688 E SHIELDS AVE, FRESNO, CA 93726-6922
(559) 253-9180

Taxonomy

Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
000001083
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000001083
CA
01
2178
COST CENTER
Enumeration date
02/22/2007
Last updated
05/08/2026
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