Organization · Type 2 NPI

Eminence Healthcare, Inc.

Substance Use Disorder Rehabilitation Clinic/Center · North Fork, CA

NPI number 1790174837 Active

Practice location

33087 Road 228, Room 23
North Fork, CA 93643-9695

Mailing address

PO Box 27707
Fresno, CA 93729-7707

Specialties and licenses

TaxonomyCodeLicense
Substance Use Disorder Rehabilitation Clinic/Center Primary 261QR0405XNone listed

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About NPI 1790174837

Eminence Healthcare, Inc.'s National Provider Identifier is 1790174837, issued on Jan 13, 2015. The primary taxonomy on file is Substance Use Disorder Rehabilitation Clinic/Center (261QR0405X), and the practice location is in North Fork, CA. The record was last updated on Jul 1, 2015.