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KERMIT KOONTZ EDUCATION CENTER
NPI 1356760110
Community/Behavioral Health in Fresno, CA

Active since April 09, 2014
2822 E FLORADORA AVE, FRESNO, CA 93703(559) 981-2143 Get Directions Write a Review

NPPES record last updated: April 9, 2014. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Kermit Koontz Education Center NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KERMIT KOONTZ EDUCATION CENTER (NPI 1356760110) is a healthcare organization registered as a community/behavioral health in Fresno, California and active in the NPI registry since April 2014. The organization lists Orlando Gillam, Chief Executive Officer, as its authorized official.

NPPES Registry Identity

NPI1356760110
Entity TypeOrganization
Primary Taxonomy251S00000X
Legal Business NameKERMIT KOONTZ EDUCATION CENTER
Location Address2822 E FLORADORA AVEFresno, CA 93703-3906
Mailing Address2822 E Floradora AveFresno, CA 93703-3906 · (559) 981-2143
Phone(559) 981-2143
Organization SubpartYesParent: Dunamis, Inc
Authorized OfficialOrlando GillamChief Executive Officer · (559) 981-2143
Enumeration DateApril 9, 2014
✔ NPI 1356760110 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity/Behavioral HealthAgencies
Taxonomy Code251S00000X
License✔ Licensed in CA · 100091AN
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
2822 E FLORADORA AVE, Fresno, CA 93703
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Other Identifiers 1

Other1962637512CA · Medi Cal

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

EMINENCE HEALTHCARE, INC.
Clinic/Center (Rehabilitation, Substance Use Disorder)
2822 E FLORADORA AVE
FRESNO, CA 93703
Fresno County (559) 443-4861
DUNAMIS INC GROUP HOMES
Counselor (Addiction (Substance Use Disorder))
2822 E FLORADORA AVE
FRESNO, CA 93703
Fresno County (281) 782-5887

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kermit Koontz Education Center's NPI number?

The NPI number for Kermit Koontz Education Center is 1356760110. It was assigned to this organization in the NPPES registry on April 9, 2014.

Where is Kermit Koontz Education Center located?

Kermit Koontz Education Center is located at 2822 E Floradora Ave, Fresno, CA 93703. The listed phone number is (559) 981-2143.

What is Kermit Koontz Education Center's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

When was this NPI record last updated?

The NPPES record for Kermit Koontz Education Center was last updated on April 9, 2014. NPI Profile syncs with the weekly NPPES data releases published by CMS.