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Mary Vaughan, CADCI
Substance Abuse Rehabilitation Facility in Fresno, California
NPI 1790138998

Mary Vaughan is a Substance Abuse Rehabilitation Facility based in Fresno, CA. Mary Vaughan practices in Fresno, CA and has the professional credentials of CADCI. The NPI Number for Mary Vaughan is 1790138998 and holds a License No. (California).

The current practice location address for Mary Vaughan is 2445 W Whites Bridge Ave, Fresno, CA and can be reached out via phone at 559-264-2551.

Location: 2445 W Whites Bridge Ave, Fresno, CA, 93710-6541
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1790138998
Provider Name
Mary Vaughan
Credential
CADCI
Provider Entity Type
Individual
Gender
Female
Address
2445 W Whites Bridge Ave, Fresno, CA, 93710-6541
Phone Number
559-264-2551
Fax Number
Provider Enumeration Date
07/22/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2445 W Whites Bridge Ave
City
Fresno
State
California
Zip
93706-1225
Phone Number
559-264-2551
Fax Number
person
Provider Business Mailing Address Details
Address
2445 W Whites Bridge Ave
City
Fresno
State
California
Zip
93706-1225
Phone Number
559-264-2551
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
101YA04000X (California)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Residential Treatment Facilities
Classification
Substance Abuse Rehabilitation Facility
Speciality
-
Taxonomy
324500000X
License No.
()
Definition
A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.
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