Provider Demographics
NPI:1548554165
Name:FRESNO COUNTY DEPARTMENT OF BEHAVIORAL HEALTH
Entity type:Organization
Organization Name:FRESNO COUNTY DEPARTMENT OF BEHAVIORAL HEALTH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ACCOUNTING CLERK
Authorized Official - Prefix:MR
Authorized Official - First Name:REO
Authorized Official - Middle Name:VINCENT
Authorized Official - Last Name:SALDIVAR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:559-253-9180
Mailing Address - Street 1:4441 E KINGS CANYON RD
Mailing Address - Street 2:# 317
Mailing Address - City:FRESNO
Mailing Address - State:CA
Mailing Address - Zip Code:93702-3604
Mailing Address - Country:US
Mailing Address - Phone:559-253-9180
Mailing Address - Fax:559-453-5776
Practice Address - Street 1:4441 E KINGS CANYON RD
Practice Address - Street 2:# 317
Practice Address - City:FRESNO
Practice Address - State:CA
Practice Address - Zip Code:93705
Practice Address - Country:US
Practice Address - Phone:559-253-9180
Practice Address - Fax:559-453-5776
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-05-31
Last Update Date:2011-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty