| Kermit Koontz Education Center | |
|
2822 E Floradora Ave Fresno CA 93703-3906 | |
| (559) 981-2143 | |
| Not Available |
| Full Name | Kermit Koontz Education Center |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 2822 E Floradora Ave, Fresno, California |
| Authorized Official Name and Position | Orlando Gillam (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 5599812143 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kermit Koontz Education Center 2822 E Floradora Ave Fresno CA 93703-3906 Ph: (559) 981-2143 | Kermit Koontz Education Center 2822 E Floradora Ave Fresno CA 93703-3906 Ph: (559) 981-2143 |
| NPI Number | 1356760110 |
|---|---|
| Provider Enumeration Date | 04/09/2014 |
| Last Update Date | 04/09/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356760110 | NPI | - | NPPES |
| 1962637512 | Other | CA | MEDI CAL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 100091AN (California) | Primary |
Kings View Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1396 W Herndon Ave, Fresno, CA 93711 Phone: 559-256-0100 | |
Healing Hopes, Inc. Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 1960 N Gateway Blvd, Fresno, CA 93727 Phone: 559-266-5200 Fax: 559-266-5201 | |
Fresno New Creation Ministries Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 5150 N 6th St Ste 132, Fresno, CA 93710 Phone: 559-227-1066 | |
Mcpeters Management & Consulting Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 5066 N Fresno St Ste 103, Fresno, CA 93710 Phone: 559-228-9392 | |
The Reclaim Family Therapy Corporation Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2001 N Van Ness Blvd, Fresno, CA 93704 Phone: 559-549-3915 | |
Fresno County California Clinic Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 851 Van Ness Ave, Fresno, CA 93721 Phone: 559-488-1318 | |
Life Givers Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 806 Collins Ave, Fresno, CA 93706 Phone: 559-237-0088 |