Transitional Age Youth Program

NPI 1205213139 - Clinic/Center - 261QM0801X

NPI Details
NPI 1205213139
Enumeration Date 04/29/2015
Last Updated 04/29/2015
Entity Type Healthcare Provider
Active Over 1 year ago
Authorized Information
Name DAWAN DAWAN
Position DIRECTOR
Phone (559) 600-6853
Fax
Practice Location
4411 E KINGS CANYON RD
FRESNO CA, 93702-3604, US
Phone (559) 600-6853
Fax
Business Location
4441 E KINGS CANYON RD
FRESNO CA, 93702-3604, US
Phone (559) 600-9193
Fax
Toxanomy
Taxonomy Code 261QM0801X
License State
License Number
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According to our database, Transitional Age Youth Program NPI is 1205213139, taxonomy code is 261QM0801X Transitional Age Youth Program physically located at 4411 E Kings Canyon Rd, Fresno CA, 93702-3604. NPI Number 1033115704 has the healthcare provider type.

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1205213139 NPI number is provided on an as is basis without warranty of any kind. 1205213139 is maintained by the National Plan & Provider Enumeration System. The contents of Transitional Age Youth Program are for informational purposes only.