05D0869187 CLIA NUMBER - BAART BEHAVIORAL HEALTH SERVICES, INC DBA BAART PROGRAMS E STREET

Laboratory Demographics

CLIA Number: 05D0869187

Facility Name: BAART BEHAVIORAL HEALTH SERVICES, INC DBA BAART PROGRAMS E STREET

Facility Address:
1235 E ST
FRESNO, CA
ZIP 93706
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Facility Phone Number: 559 268-6261

Facility Type: Other - NARCOTIC TREATMENT

Certificate Type: Waiver

NPI Number: 1982741567

Taxonomy: 261QR0405X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	05D0869187
LAB Type	Other - NARCOTIC TREATMENT
Facility Name	BAART BEHAVIORAL HEALTH SERVICES, INC DBA BAART PROGRAMS E STREET
Street	1235 E ST
City	FRESNO
State	CA
ZIP	93706
Phone	559 268-6261
CertificateType	4
CertificateEffectiveDate	9/1/2022
CertificateExpirationDate	8/31/2024
FacilityType	Waiver

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This page was last updated on: 4/23/2024