Promesa Behavioral Health

Organization Active NPI Community/Behavioral Health Agency · Five Points, CA

NPI 1275839136 · NPPES record last updated Feb 9, 2011

Key facts

NPI
1275839136
Entity type
Organization (NPI type 2)
Primary specialty
Community/Behavioral Health Agency 251S00000X
License
101044 (CA)
Legal business name
PROMESA BEHAVIORAL HEALTH
Practice address
19191 Excelsior Ave
Five Points, CA 93624-0398
Phone
(559) 884-2492
NPI assigned
Feb 9, 2011
Organization subpart
No

Authorized official

Name
Lisa Weigant, MA
Title
Ceo
Phone
(559) 439-5437

Corporate family (same tax ID) 38

Organizations that report the same tax identification number in the National Provider Directory.

View all 38

National Provider Directory

Tax ID family
Promesa Behavioral Health FCHN (39 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 101044 CA Yes

Addresses

Primary practice location

19191 Excelsior Ave
Five Points, CA 93624-0398

Mailing address

7475 N Palm Ave Ste 107
Fresno, CA 93711-5763
Phone (559) 439-5437

Other identifiers

IdentifierTypeStateIssuer
1044MedicaidCA

Sources for this page

Verify at the official NPI Registry.