Organization
EMINENCE HEALTHCARE SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JUAN GARZA II (CEO)
(559) 221-8100
Entity
Organization
Contact information
Practice address
13883 S LASSEN AVE, ROOMS 1 & 2, HELM, CA 93627-9900
(559) 917-1635
Mailing address
PO BOX 27707, FRESNO, CA 93729-7707
(559) 221-8100
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
10/06/2015
Last updated
09/21/2017
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