Provider Demographics
NPI:1588472922
Name:NATIONAL ALLIANCE ON MENTAL ILLNESS FRESNO
Entity type:Organization
Organization Name:NATIONAL ALLIANCE ON MENTAL ILLNESS FRESNO
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:DR. AMY
Authorized Official - Middle Name:
Authorized Official - Last Name:PARKS
Authorized Official - Suffix:
Authorized Official - Credentials:DSW, LCSW
Authorized Official - Phone:559-224-2469
Mailing Address - Street 1:7545 N DEL MAR AVE STE 105
Mailing Address - Street 2:
Mailing Address - City:FRESNO
Mailing Address - State:CA
Mailing Address - Zip Code:93711-6872
Mailing Address - Country:US
Mailing Address - Phone:559-224-2469
Mailing Address - Fax:
Practice Address - Street 1:7545 N DEL MAR AVE STE 105
Practice Address - Street 2:
Practice Address - City:FRESNO
Practice Address - State:CA
Practice Address - Zip Code:93711-6872
Practice Address - Country:US
Practice Address - Phone:559-224-2469
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-12-18
Last Update Date:2024-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health