Provider Demographics
NPI:1386970002
Name:HUGHES SUBSTANCE ABUSE SERVICES
Entity type:Organization
Organization Name:HUGHES SUBSTANCE ABUSE SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:DIANE
Authorized Official - Middle Name:SUZETTE
Authorized Official - Last Name:JOHNSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:559-449-8300
Mailing Address - Street 1:6460 N SELLAND AVE
Mailing Address - Street 2:
Mailing Address - City:FRESNO
Mailing Address - State:CA
Mailing Address - Zip Code:93711-0898
Mailing Address - Country:US
Mailing Address - Phone:559-449-8300
Mailing Address - Fax:
Practice Address - Street 1:2745 N HUGHES AVE
Practice Address - Street 2:
Practice Address - City:FRESNO
Practice Address - State:CA
Practice Address - Zip Code:93705-3726
Practice Address - Country:US
Practice Address - Phone:559-449-8300
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-10-30
Last Update Date:2009-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health