Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MARY VAUGHAN, CADC I
Active Sole ProprietorMARY VAUGHAN, CADC I is a Substance Abuse Rehabilitation Facility healthcare provider located in FRESNO, California. NPI 1790138998 is currently active in the NPPES registry. Verify at CMS.
Substance Abuse Rehabilitation Facility · FRESNO, CA
Registration Details
- NPI Number
- 1790138998
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jul 22, 2016 (9.8815221741443 yrs)
- Last Updated
- Jan 22, 2019
- License
-
101YA04000X (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
2445 W WHITES BRIDGE AVEFRESNO, CA, 937061225Browse CA providers · Browse ZIP 93706
- Phone
- 5592642551
- Primary Specialty
-
Substance Abuse Rehabilitation Facility
324500000X
- Additional Specialty
- Substance Abuse Rehabilitation Facility
Other Substance Abuse Rehabilitation Facility Providers in FRESNO, CA
| Name | Credential | NPI |
|---|---|---|
| TAMARA LYNN TURNIPSEED | CAS 1 | 1306183967 |
| DENA MERRELL | CAS | 1366989543 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.