| Pdr-promesa Dependency & Rehabilitation | |
|
607 N Douty St Hanford CA 93230-3912 | |
| (559) 584-9033 | |
| Not Available |
| Full Name | Pdr-promesa Dependency & Rehabilitation |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 607 N Douty St, Hanford, California |
| Authorized Official Name and Position | Cindy Gonzales (PROGRAM ADMINISTRATOR) |
| Authorized Official Contact | 5595849033 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pdr-promesa Dependency & Rehabilitation Po Box 1161 Hanford CA 93232-1161 Ph: () - | Pdr-promesa Dependency & Rehabilitation 607 N Douty St Hanford CA 93230-3912 Ph: (559) 584-9033 |
| NPI Number | 1326358813 |
|---|---|
| Provider Enumeration Date | 10/18/2010 |
| Last Update Date | 10/18/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326358813 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | OP10-0184 (California) | Primary |
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