Healthcare Provider Details

I. General information

NPI: 1669213534
Provider Name (Legal Business Name): ASLANIAN FOUNDATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/04/2024
Last Update Date: 06/06/2024
Certification Date: 06/06/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1616 W SHAW AVE STE D1
FRESNO CA
93711-3513
US

IV. Provider business mailing address

1616 W SHAW AVE STE D1
FRESNO CA
93711-3513
US

V. Phone/Fax

Practice location:
  • Phone: 559-431-3900
  • Fax:
Mailing address:
  • Phone: 559-431-3900
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: BIANCA A DUNLAP
Title or Position: ADMINISTRATOR
Credential:
Phone: 559-431-3900