A & S Innovations LLC Dovewood Recovery Haven
Organization Active NPI Psychiatric/Mental Health Nurse Practitioner · Fresno, CA
NPI 1801581145 · NPPES record last updated Apr 11, 2023
Key facts
- NPI
- 1801581145
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner 363LP0808X
- Legal business name
- A & S INNOVATIONS LLC DOVEWOOD RECOVERY HAVEN
- Practice address
- 267 W Dovewood LN
Fresno, CA 93704-2030 - Phone
- (760) 492-7296
- NPI assigned
- Apr 11, 2023
- Organization subpart
- No
Authorized official
- Name
- Adam Castro
- Title
- Owner
- Phone
- (760) 492-7296
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Psychologist |
103TA0400X | |||
| Cognitive & Behavioral Psychologist |
103TB0200X | |||
| Counseling Psychologist |
103TC1900X | |||
| Addiction (Substance Use Disorder) Registered Nurse |
163WA0400X | |||
| Psychiatric/Mental Health Nurse Practitioner |
363LP0808X | Yes |
Addresses
Primary practice location
267 W Dovewood LN
Fresno, CA 93704-2030
Mailing address
267 W Dovewood LN
Fresno, CA 93704-2030
Phone (760) 492-7296
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All providers in Fresno, CA · Psychiatric/Mental Health Nurse Practitioner in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 11, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.