NPI 1114072394

Families First

Organisation Exclusive Provider Organization Fresno, CA

Practice location

Address: 7080 N Marks Ave STE 104, Fresno, CA 93711-0288
Phone: (559) 907-4275
Fax: (559) 248-8555

Authorised official

Name: Katrina Ambrose
Title: Mental Health Clinican
Phone: (559) 907-4275

Registered specialties

Exclusive Provider Organization Primary

Managed Care Organizations Taxonomy 302F00000X Licence IMF-48553 (CA)

Other Exclusive Provider Organization providers in California →

Registry record

NPI: 1114072394
Entity type: Organization
NPI issued: 25 Jan 2007
Record last updated: 11 Aug 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.