Provider Demographics
NPI:1346689098
Name:RESOURCES, INC.
Entity Type:Organization
Organization Name:RESOURCES, INC.
Other - Org Name:DOMESTIC VIOLENCE RESOURCE CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:LYNN
Authorized Official - Middle Name:
Authorized Official - Last Name:GENTRYWOOD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:505-242-6304
Mailing Address - Street 1:625 SILVER AVE. SW
Mailing Address - Street 2:SUITE 185
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87102-3152
Mailing Address - Country:US
Mailing Address - Phone:505-242-6304
Mailing Address - Fax:505-843-9520
Practice Address - Street 1:625 SILVER AVE. SW
Practice Address - Street 2:SUITE 185
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87102-3152
Practice Address - Country:US
Practice Address - Phone:505-242-6304
Practice Address - Fax:505-843-9520
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 Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health