Organization · Type 2 NPI

Kyjo Enterprises, Inc.

Mental Illness Community Based Residential Treatment Facility · Fresno, CA

NPI number 1407448905 Active

Practice location

3138 W Barstow Ave
Fresno, CA 93711-2603

Call (559) 243-7002 Map

Fax (559) 243-5740

Mailing address

114 E Shaw Ave Ste 210
Fresno, CA 93710-7621

Specialties and licenses

Taxonomy	Code	License
Mental Illness Community Based Residential Treatment Facility Primary	320800000X	None listed

Mental Illness Community Based Residential Treatment Facility: A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.

3 other providers at this address

Other mental illness community based residential treatment facility providers in Fresno

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NPI record

NPI: 1407448905
Entity type: Organization (Type 2)
Issued: Feb 5, 2021
Last updated: Nov 18, 2021
Status: Active
Subpart: Yes of Kyjo Enterprises, Inc.

Other names

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Kyjo Enterprises, Inc. · doing business as
Barstow House · other name

Authorized official

Kevin Dante Jordan
Executive Director
(559) 243-7002

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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 1407448905

Kyjo Enterprises, Inc.'s National Provider Identifier is 1407448905, issued on Feb 5, 2021. The primary taxonomy on file is Mental Illness Community Based Residential Treatment Facility (320800000X), and the practice location is in Fresno, CA. The record was last updated on Nov 18, 2021.