NPI 1841612587

Department of Behavioral Health

Organisation Mental Illness Intermediate Care Facility Fresno, CA

Practice location

Address: 1221 Fulton Mall, Fresno, CA 93721-1915
Phone: (559) 600-3550
Mailing address: PO Box 11867, Fresno, CA 93775-1867

Authorised official

Name: Dainna Lynn Driver
Title: Lvn
Phone: (559) 600-3550

Registered specialties

Mental Illness Intermediate Care Facility Primary

Nursing & Custodial Care Facilities Taxonomy 310500000X Licence VN242638 (CA)

Other Intermediate Care Facility, Mental Illness providers in California →

Registry record

NPI: 1841612587
Entity type: Organization
NPI issued: 15 Jan 2014
Record last updated: 15 Jan 2014

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.