Provider Demographics
NPI:1528407137
Name:DUNAMIS INC GROUP HOMES
Entity Type:Organization
Organization Name:DUNAMIS INC GROUP HOMES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:ORLANDO
Authorized Official - Middle Name:
Authorized Official - Last Name:GILLAM
Authorized Official - Suffix:II
Authorized Official - Credentials:
Authorized Official - Phone:281-782-5887
Mailing Address - Street 1:823 W SUSSEX WAY
Mailing Address - Street 2:
Mailing Address - City:FRESNO
Mailing Address - State:CA
Mailing Address - Zip Code:93705-2021
Mailing Address - Country:US
Mailing Address - Phone:281-782-5887
Mailing Address - Fax:559-981-5039
Practice Address - Street 1:2822 E FLORADORA AVE
Practice Address - Street 2:
Practice Address - City:FRESNO
Practice Address - State:CA
Practice Address - Zip Code:93703-3906
Practice Address - Country:US
Practice Address - Phone:281-782-5887
Practice Address - Fax:559-981-5039
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-06-17
Last Update Date:2013-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA1000086AN101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Multi-Specialty