Addiction Intervention Resources in Fresno - Substance Abuse Treatment, Children
Addiction Intervention Resources - NPI 1114129814
Addiction Intervention Resources is a Substance Abuse Treatment, Children in Fresno, California. Addiction Intervention Resources practices all healthcare services and medical treatments related to Substance Abuse Treatment, Children. The NPI Number for Addiction Intervention Resources is 1114129814. The last update date is 2020-08-22.
Addiction Intervention Resources's current location address is 405 N Broadway St, Fresno, California. You can contact this provider via phone number 5594863146 and fax number 5594863146. The mailing address for Addiction Intervention Resources is 405 N Broadway St, Fresno, California. To know further, please read the information below!
Provider Profile Detail
Provider Organization | Addiction Intervention Resources |
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Address | 405 N Broadway St, Fresno, California |
Phone Number | 5594863146 |
Fax Number | 5594863146 |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | ADMINISTRA |
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Authorized Official Name | Gibson Linda |
Telephone Number | 5594863146 |
NPI Number Detail
NPI Number | 1114129814 |
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Provider Enumeration Date | 2007-06-04 |
Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
Address | 405 N Broadway St |
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City | Fresno |
State | California (CA) |
Post Code | 937011513 |
Phone Number | 5594863146 |
Fax Number | 5594863146 |
Provider's Primary Taxonomy Detail
Speciality | Substance Abuse Treatment, Children |
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Taxonomy | 3245S0500X |
Licence No | 1006 |
Definition: A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of children with disorders in the use of drugs, alcohol, and other substances. Medical and su |
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What is the unique identifier code issued to Addiction Intervention Resources by the Centers for Medicare & Medicaid Services?
The Addiction Intervention Resources has been assigned the NPI (National Provider Identifier) 1114129814. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Addiction Intervention Resources?
The Addiction Intervention Resources is physically situated at 405 N Broadway St, in the city of Fresno, state of CA, with the postal code 937011513.
What is the area of specialization for Addiction Intervention Resources, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Addiction Intervention Resources is Substance Abuse Treatment, Children, and the corresponding taxonomy code that categorizes this area of expertise is 3245S0500X.
On what date did the Addiction Intervention Resources receive the assignment of its 1114129814 from the Centers for Medicare & Medicaid Services?
The Addiction Intervention Resources was issued its 1114129814 by the Centers for Medicare & Medicaid Services on 2007-06-04.
When was the information regarding Addiction Intervention Resources most recently updated?
The details pertaining to the Addiction Intervention Resources, including its address, specialty, and other relevant information, were last refreshed on 2020-08-22.
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