| Agave Medical Ca Pc | |
|
16397 Road 37 Madera CA 93636-8224 | |
| (929) 209-6109 | |
| Not Available |
| Full Name | Agave Medical Ca Pc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 16397 Road 37, Madera, California |
| Authorized Official Name and Position | Ori Fruhauf (OWNER) |
| Authorized Official Contact | 5513021794 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Agave Medical Ca Pc 359 5th St Unit 3 Jersey City NJ 07302-2329 Ph: (929) 209-6109 | Agave Medical Ca Pc 16397 Road 37 Madera CA 93636-8224 Ph: (929) 209-6109 |
| NPI Number | 1598553331 |
|---|---|
| Provider Enumeration Date | 04/30/2025 |
| Last Update Date | 04/30/2025 |
| Certification Date | 04/30/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598553331 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Secondary |
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
Holy Family Counseling Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1834 Howard Rd Ste F, Madera, CA 93637 Phone: 559-706-8641 | |
County Of Madera Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 209 E 7th St, Madera, CA 93638 Phone: 559-673-3508 Fax: 559-675-4999 | |
County Of Madera Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 209 E 7th St, Madera, CA 93638 Phone: 559-673-3508 Fax: 559-675-4999 | |
County Of Madera Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 209 E 7th St, Madera, CA 93638 Phone: 559-673-3508 Fax: 559-675-4999 | |
Fresno Cournty West County Regional Mental Health Clinic Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 275 S Madera Ave, Suite 103, Madera, CA 93630 Phone: 559-846-7500 Fax: 559-846-5892 | |
Madera County Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 209 E 7th St, Madera, CA 93638 Phone: 559-673-3508 Fax: 559-675-4999 | |
Behavioral Health Services Alcohol Drug Progam Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1200 Maple St Ste 108, Madera, CA 93637 Phone: 559-675-4515 |