TRANSITIONAL AGE YOUTH EXPANSION NPI 1932586864

NPI Information

NPI: 1932586864
Provider Name: TRANSITIONAL AGE YOUTH EXPANSION
Classification: Clinic/Center - 261QM0801X
Entity Type: Organization

Specialization: Mental Health (Including Community Mental Health Center)

Address:
4411 E KINGS CANYON RD
FRESNO, CA
ZIP 93702
Phone: (559) 600-6853
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TRANSITIONAL AGE YOUTH EXPANSION is a mental health (including community mental health center) clinic center in Fresno, CA. TRANSITIONAL AGE YOUTH EXPANSION NPI is 1932586864. The provider is registered as an organization entity type.

The provider's business location address is:

4411 E KINGS CANYON RD
FRESNO, CA
ZIP 93702-604
Phone: (559) 600-6853

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

The enumeration date for this NPI number is 4/29/2015 and was last updated on 4/29/2015.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QM0801X	Clinic/Center	Mental Health (Including Community Mental Health Center)		CALIFORNIA	Yes

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

NPI Synchronization or Removal

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