| Promesa Behavioral Health | |
|
19191 Excelsior Ave Five Points CA 93624-0398 | |
| (559) 884-2492 | |
| Not Available |
| Full Name | Promesa Behavioral Health |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 19191 Excelsior Ave, Five Points, California |
| Authorized Official Name and Position | Lisa Weigant (CEO) |
| Authorized Official Contact | 5594395437 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Promesa Behavioral Health 7475 N Palm Ave Ste 107 Fresno CA 93711-5763 Ph: (559) 439-5437 | Promesa Behavioral Health 19191 Excelsior Ave Five Points CA 93624-0398 Ph: (559) 884-2492 |
| NPI Number | 1275839136 |
|---|---|
| Provider Enumeration Date | 02/09/2011 |
| Last Update Date | 02/09/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275839136 | NPI | - | NPPES |
| 1044 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 101044 (California) | Primary |