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General NPI Number Information
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NPI Number | 1659244853
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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 | 09/25/2025
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Last Update Date | 10/21/2025
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Provider Practice Location Address
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Address Line | 4417 E INYO ST
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City | FRESNO
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State | CA
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Zip | 93702-2977
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Country | US
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Telephone | 559-708-7704
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Fax |
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Provider Business Mailing Address
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Address Line | 355 E GETTYSBURG
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City | FRESNO
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State | CALIFORNIA
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Zip | 93704
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CHIEF STRATEGY OFFICER
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Name | KEEGAN DAVIS
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Credential | SUDCC-III, APSYD
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Telephone | 559-708-7704
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Psychologist
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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 | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number |
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License Number State |
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