Promesa Behavioral Health-Spruce

LBN: Promesa Behavioral Health-Spruce
Promesa Behavioral Health-Spruce is an health care organization with primary practice located at 775 E Spruce Ave , Fresno CA 93720. The organization recently has only one registered license in Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness, which is considered as the primary health care specialty. Promesa Behavioral Health-Spruce can be contacted via phone (559) 439-5437, or through Reed, Amanda Irene via phone (559) 439-5437.

Contact Information

Primary practice address
775 E Spruce Ave Fresno CA 93720
Phone: (559) 439-5437
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Reed, Amanda Irene LMFT
Phone: (559) 439-5437

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness 320800000X 100406294 California

Profile Details

NPI number 1154816411
LBN Legal business name Promesa Behavioral Health-Spruce
DBA Doing business as
Authorized official Reed, Amanda Irene LMFT
Entity Organization
Organization subpart 1 No
Enumeration date Jun 28th, 2018
Last updated Aug 13th, 2018 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1154816411 NPPES
California MEDICAID 101044

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