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General NPI Number Information
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NPI Number | 1093537318
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Entity Type | Organization
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Legal Business Name | CENTERS FOR LIVING, INC
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Dates
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Enumeration Date | 10/28/2024
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Last Update Date | 10/29/2025
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Provider Practice Location Address
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Address Line | 315 E GETTYSBURG AVE
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City | FRESNO
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State | CA
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Zip | 93704-3032
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Country | US
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Telephone | 559-809-2936
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Fax |
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Provider Business Mailing Address
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Address Line | 335 E GETTYSBURG AVE
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City | FRESNO
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State | CA
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Zip | 93704-3032
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Country | US
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Telephone | 559-270-6429
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Fax | 559-335-0635
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Authorized Official
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Title or Position | COO
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Name | MRS. DAWN MCCOLLUM-COYLE
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Credential |
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Telephone | 559-500-9290
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR0405X
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Taxonomy Name | Substance Use Disorder Rehabilitation Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 385H00000X
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Taxonomy Name | Respite Care
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License Number |
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License Number State |
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