PROMESA BEHAVIORAL HEALTH- NILES 4 – NPI #1417280728
Community Based Residential Treatment Facility, Mental Illness

A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.

Health Care Provider Taxonomy Code for Community Based Residential Treatment Facility, Mental Illness

PROMESA BEHAVIORAL HEALTH- NILES 4 is a community based residential treatment facility located in FRESNO, CA. NPPES has assigned the NPI number 1417280728 to PROMESA BEHAVIORAL HEALTH- NILES 4 on September 18, 2009. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “PROMESA BEHAVIORAL HEALTH- NILES 4” is a dba name, the actual legal business name for this organization is PROMESA BEHAVIORAL HEALTH. The primary taxonomy selected by this provider is 320800000X from the Health Care Provider Taxonomy code set, which is classified as Community Based Residential Treatment Facility, Mental Illness.

The NPI profile was last updated on Sep 05, 2024. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for PROMESA BEHAVIORAL HEALTH- NILES 4 below.

NPI Profile for
PROMESA BEHAVIORAL HEALTH

NPI Number
1417280728
Enumeration Date

(more than 16 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
PROMESA BEHAVIORAL HEALTH
Doing Business As (dba): PROMESA BEHAVIORAL HEALTH- NILES 4
Primary location
1942 E NILES AVE
FRESNO, CA 93720
Phone: (559) 439-5437 Fax: (559) 439-5411
Mailing address
7120 N MARKS AVE STE 110
FRESNO, CA 93711-0268
Phone: (559) 439-5437 Fax: (559) 439-5411
Organization Subpart
No
Authorized Official
AMANDA REED
DIRECTOR
Phone: (559) 439-5437
Updated
Certification Date
Sep 05, 2024

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
320800000X
- Community Based Residential Treatment Facility, Mental Illness (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.