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PROMESA BEHAVIORAL HEALTH-MARKS NPI 1154591121


NPI Information

NPI: 1154591121
Provider Name: PROMESA BEHAVIORAL HEALTH-MARKS
Classification: Community/Behavioral Health - 251S00000X
Entity Type: Organization
Address:
7120 N MARKS AVE # 110
FRESNO, CA
ZIP 93711
Phone: (559) 439-5437
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PROMESA BEHAVIORAL HEALTH-MARKS is a community behavioral health in Fresno, CA. The provider is a private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. PROMESA BEHAVIORAL HEALTH-MARKS NPI is 1154591121. The provider is registered as an organization entity type.

The provider's business location address is:

7120 N MARKS AVE # 110
FRESNO, CA
ZIP 93711
Phone: (559) 439-5437
Fax: (559) 439-5411

The provider's authorized official is Amanda Irene Reed .
The authorized official title is Director and has the following contact phone number (559) 341-2394.

The enumeration date for this NPI number is 3/6/2008 and was last updated on 8/13/2018.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QR0405XClinic/CenterRehabilitation, Substance Use Disorder1044CALIFORNIANo
2251S00000XCommunity/Behavioral Health100043ANCALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11044MEDICAIDCALIFORNIA
2101044MEDICAIDCALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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