Healthcare Provider Details

I. General information

NPI: 1750715801
Provider Name (Legal Business Name): KINGS COUNTY BEHAVIORAL HEALTH
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/26/2013
Last Update Date: 11/19/2024
Certification Date: 11/19/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1222 W LACEY BLVD FL 2
HANFORD CA
93230-5901
US

IV. Provider business mailing address

1400 W LACEY BLVD BLDG 13
HANFORD CA
93230-5905
US

V. Phone/Fax

Practice location:
  • Phone: 559-852-2444
  • Fax: 559-589-6916
Mailing address:
  • Phone: 559-582-2444
  • Fax: 559-589-6916

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: DR. LISA LEWIS
Title or Position: DIRECTOR
Credential:
Phone: 559-852-2444