NPIMap

Organization Active NPI

Fresh Start Youth Center Incorporated

  • Mental Illness Community Based Residential Treatment Facility
  • Fresno, CA
National Provider Identifier
1699226803
Registry record updated Aug 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X
Legal business name
FRESH START YOUTH CENTER INCORPORATED
Doing business as
Mollie's House
Practice address
693 W Bullard Ave
Fresno, CA 93704-1607
Phone
(559) 425-6885
Fax
(559) 533-0470
NPI assigned
Oct 23, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ms. Torella M Minor
Title
Executive Director
Phone
(559) 425-6885

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Illness Community Based Residential Treatment Facility 320800000X Primary

Addresses

Primary practice location

693 W Bullard Ave
Fresno, CA 93704-1607

Mailing address

693 W Bullard Ave
Fresno, CA 93704-1607
Phone (559) 916-2813

Other names 1

  • Mollie's House Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address tminor@mollieshouse.org

National Provider Directory

National Provider Directory

Locations

2010 N Fine Ave
Ste 103A
Fresno, CA 93727
Phone (559) 455-0991

Practitioners & affiliated clinicians

Practitioners 19

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 19

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1477180800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1629417600000",
    "number": "1699226803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "693 W BULLARD AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937041607",
            "telephone_number": "559-916-2813",
            "fax_number": "559-533-0470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "693 W BULLARD AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937041607",
            "telephone_number": "559-425-6885",
            "fax_number": "559-533-0470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRESH START YOUTH CENTER INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-23",
        "last_updated": "2021-08-20",
        "certification_date": "2021-08-20",
        "status": "A",
        "authorized_official_last_name": "MINOR",
        "authorized_official_first_name": "TORELLA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "559-425-6885",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tminor@mollieshouse.org",
            "affiliation": "N",
            "address_1": "2010 N Fine Ave",
            "address_2": "Suite 103A",
            "city": "Fresno",
            "state": "CA",
            "country_code": "US",
            "postal_code": "937271558",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Mollie's House",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Mollie's House",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fresno, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.