Provider Type Icon

A NEW AWAKENING OF THE SAN JOAQUIN NPI 1629699327


NPI Information

NPI: 1629699327
Provider Name: A NEW AWAKENING OF THE SAN JOAQUIN
Classification: Clinic/Center - 261QM0850X
Entity Type: Organization

Specialization: Adult Mental Health

Address:
1121 S DEE ANN AVE
FRESNO, CA
ZIP 93727
Phone: (559) 579-0935
Get Directions

A NEW AWAKENING OF THE SAN JOAQUIN is an adult mental health clinic center in Fresno, CA. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. A NEW AWAKENING OF THE SAN JOAQUIN NPI is 1629699327. The provider is registered as an organization entity type.

The provider's business location address is:

1121 S DEE ANN AVE
FRESNO, CA
ZIP 93727-847
Phone: (559) 579-0935

The provider's authorized official is Juan Campos .
The authorized official title is Operations Director and has the following contact phone number (559) 721-9279.

The enumeration date for this NPI number is 5/4/2020 and was last updated on 5/4/2020.


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
1261QM0850XClinic/CenterAdult Mental HealthYes

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.