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SUPPORTED EDUCATION EMPLOYMENT SERVICES NPI 1699827576


NPI Information

NPI: 1699827576
Provider Name: SUPPORTED EDUCATION EMPLOYMENT SERVICES

Other Name: JOB OPTIONS

Classification: Clinic/Center - 261QM0801X
Entity Type: Organization

Specialization: Mental Health (Including Community Mental Health Center)

Address:
4447 E KINGS CANYON ROAD, UNIT E
FRESNO, CA
ZIP 93703
Phone: (559) 453-8637
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SUPPORTED EDUCATION EMPLOYMENT SERVICES is a mental health (including community mental health center) clinic center in Fresno, CA. SUPPORTED EDUCATION EMPLOYMENT SERVICES NPI is 1699827576. The provider is registered as an organization entity type.
The provider Other Name Is Job Options.

The provider's business location address is:

4447 E KINGS CANYON ROAD, UNIT E
FRESNO, CA
ZIP 93703
Phone: (559) 453-8637

The provider's authorized official is Dawan Utecht .
The authorized official title is Director, Department Of Behavioral and has the following contact phone number (559) 600-9193.

The enumeration date for this NPI number is 1/18/2007 and was last updated on 12/17/2015.


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
1261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)Yes

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
1ZZZ82027ZMEDICARE ID-TYPE UNSPECIFIEDCALIFORNIAMEDICARE PROVIDER NUMBER
22150OTHERCOST CENTER
32189OTHERCOST CENTER
4000001007MEDICAIDCALIFORNIA
52179OTHERCOST CENTER
62193OTHERCOST CENTER
72170OTHERCOST CENTER

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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