Organization
FRESNO COUNTY
Active
Parent organization
COUNTY OF FRESNO
Other names
FRESNO COUNTY TEAM CONSERVATORSHIP
Organization subpart
Yes
Provider details
NPI number
Legal business name
COUNTY OF FRESNO
Authorized official
SUSAN LEIGH HOLT (DIRECTOR)
(559) 600-9058
Entity
Organization
Contact information
Practice address
3109 N MILLBROOK AVE, FRESNO, CA 93703-1425
(559) 253-9180
Mailing address
3109 N MILLBROOK AVE, FRESNO, CA 93703-1425
(559) 253-9180
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
000001098
CA
261QM0850X
Adult Mental Health Clinic/Center
Primary
000001098
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000001098
—
CA
01
—
2175N
COST CENTER
—
01
—
2181N
COST CENTER
—
Enumeration date
02/08/2007
Last updated
10/06/2023
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