NPI 1801581145 · live from the CMS NPI Registry
A & S Innovations LLC Dovewood Recovery Haven
Nurse Practitioner, Psych/Mental Health in Fresno, CA. National Provider Identifier 1801581145, active.
NPI record
| NPI | 1801581145 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Nurse Practitioner, Psych/Mental Health 363LP0808X |
| Practice location | 267 W Dovewood Ln, Fresno, CA 93704 |
| Practice phone | 760-492-7296 |
| Enumerated | April 11, 2023 |
| Last updated | April 11, 2023 |
| Authorized official | Adam Castro, Owner |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychologist, Addiction (Substance Use Disorder) | 103TA0400X | — |
| Psychologist, Cognitive & Behavioral | 103TB0200X | — |
| Psychologist, Counseling | 103TC1900X | — |
| Registered Nurse, Addiction (Substance Use Disorder) | 163WA0400X | — |
| Nurse Practitioner, Psych/Mental Health primary | 363LP0808X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.