Organization · Type 2 NPI

California State University Fresno Foundation

Community/Behavioral Health Agency · Fresno, CA

NPI number 1295171007 Active

Practice location

5048 N Jackson Ave M S LS138
Fresno, CA 93740-0001

Specialties and licenses

Taxonomy	Code	License
Community/Behavioral Health Agency Primary	251S00000X	1-12-12031 (CA)

Community/Behavioral Health Agency: 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 suppo…

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NPI record

NPI: 1295171007
Entity type: Organization (Type 2)
Issued: May 20, 2013
Last updated: May 20, 2013
Status: Active
Subpart: Yes of California State University Fresno Foundation

Other names

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Central California Autism Center · former legal business name

Authorized official

Dr. Amanda Adams, PhD
Executive Director
(559) 278-1028

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1295171007

California State University Fresno Foundation's National Provider Identifier is 1295171007, issued on May 20, 2013. The primary taxonomy on file is Community/Behavioral Health Agency (251S00000X), and the practice location is in Fresno, CA. The record was last updated on May 20, 2013.