Organization
PROMESA BEHAVIORAL HEALTH
Active
Other names
PROMESA BEHAVIORAL HEALTH- Millbrook
Organization subpart
No
Provider details
NPI number
Authorized official
AMANDA IRENE REED LMFT (DIRECTOR)
(559) 439-5437
Entity
Organization
Contact information
Practice address
4291 N MILLBROOK AVE, FRESNO, CA 93726
(559) 439-5437
Mailing address
7120 N MARKS AVE STE 110, FRESNO, CA 93711-0268
(559) 341-2394
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
107201149
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
101044
—
CA
Enumeration date
06/28/2018
Last updated
09/05/2024
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