Organization
KINGS VIEW
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CANDIE JOY SMITH (EXECUTIVE DIRECTOR)
(559) 457-2302
Entity
Organization
Contact information
Practice address
1410 F ST STE 101, FRESNO, CA 93706-1608
(559) 475-2302
(559) 457-2324
Mailing address
1410 F ST STE 101, FRESNO, CA 93706-1608
(559) 457-2302
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
100026AN
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
100026AN
STATE ALCOHOL DRUG CERTIF
CA
Enumeration date
05/16/2007
Last updated
07/20/2016
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