=====================================================
General NPI Number Information
=====================================================
NPI Number | 1962349654
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | ARC INTERVENTION PREVENTION
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 04/30/2026
-----------------------------------------------------
Last Update Date | 04/30/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 2830 N BLACKSTONE AVE # 201
-----------------------------------------------------
City | FRESNO
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 93703-1002
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 559-243-9731
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 2830 N BLACKSTONE AVE # 201
-----------------------------------------------------
City | FRESNO
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 93703-1002
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 559-243-9731
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | EXECUTIVE DIRECTOR
-----------------------------------------------------
Name | SUSAN S BECHARA
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 559-243-9731
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 251S00000X
-----------------------------------------------------
Taxonomy Name | Community/Behavioral Health Agency
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------