Healthcare Provider Details

I. General information

NPI: 1093537318
Provider Name (Legal Business Name): CENTERS FOR LIVING, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/28/2024
Last Update Date: 10/29/2025
Certification Date: 10/29/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

315 E GETTYSBURG AVE
FRESNO CA
93704-3032
US

IV. Provider business mailing address

335 E GETTYSBURG AVE
FRESNO CA
93704-3032
US

V. Phone/Fax

Practice location:
  • Phone: 559-809-2936
  • Fax:
Mailing address:
  • Phone: 559-270-6429
  • Fax: 559-335-0635

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QR0405X
TaxonomySubstance Use Disorder Rehabilitation Clinic/Center
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number
License Number State

VIII. Authorized Official

Name: MRS. DAWN MCCOLLUM-COYLE
Title or Position: COO
Credential:
Phone: 559-500-9290