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CALIFORNIA STATE UNIVERSITY FRESNO FOUNDATION NPI 1295171007


NPI Information

NPI: 1295171007
Provider Name: CALIFORNIA STATE UNIVERSITY FRESNO FOUNDATION

Former Legal Business Name: CENTRAL CALIFORNIA AUTISM CENTER

Classification: Community/Behavioral Health - 251S00000X
Entity Type: Organization
Address:
5048 N JACKSON AVE M S LS138
FRESNO, CA
ZIP 93740
Phone: (559) 278-6773
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CALIFORNIA STATE UNIVERSITY FRESNO FOUNDATION 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. CALIFORNIA STATE UNIVERSITY FRESNO FOUNDATION NPI is 1295171007. The provider is registered as an organization entity type.
The provider Former Legal Business Name Is Central California Autism Center.

The provider's business location address is:

5048 N JACKSON AVE M S LS138
FRESNO, CA
ZIP 93740-001
Phone: (559) 278-6773

The provider's authorized official is Amanda Adams .
The authorized official title is Executive Director and has the following contact phone number (559) 278-1028.

The enumeration date for this NPI number is 5/20/2013 and was last updated on 5/20/2013.


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
1251S00000XCommunity/Behavioral Health1-12-12031CALIFORNIAYes

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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