Healthcare Provider Details

I. General information

NPI: 1881758829
Provider Name (Legal Business Name): FRESNO CO. BEHAVIORAL HEALTH DEPT.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/21/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4441 E KINGS CANYON RD
FRESNO CA
93702-3604
US

IV. Provider business mailing address

4441 E KINGS CANYON RD
FRESNO CA
93702-3604
US

V. Phone/Fax

Practice location:
  • Phone: 559-453-4099
  • Fax: 559-453-8659
Mailing address:
  • Phone: 559-453-4099
  • Fax: 559-453-8659

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number352324
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code251J00000X
TaxonomyNursing Care Agency
License Number352324
License Number StateCA

VIII. Authorized Official

Name: MRS. GIANG NGUYEN
Title or Position: DIRECTOR
Credential:
Phone: 559-453-4099