Provider Demographics
NPI:1528190402
Name:FRESNO YOUTH ADVOCATES
Entity Type:Organization
Organization Name:FRESNO YOUTH ADVOCATES
Other - Org Name:FAMILY COMMUNICATION CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:THERAPIST
Authorized Official - Prefix:MR
Authorized Official - First Name:MYRON
Authorized Official - Middle Name:KEITH
Authorized Official - Last Name:DOWNING
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT 19396
Authorized Official - Phone:559-431-0500
Mailing Address - Street 1:2560 W SHAW LN
Mailing Address - Street 2:SUITE 101
Mailing Address - City:FRESNO
Mailing Address - State:CA
Mailing Address - Zip Code:93711-2777
Mailing Address - Country:US
Mailing Address - Phone:559-431-0580
Mailing Address - Fax:
Practice Address - Street 1:2560 W SHAW LN
Practice Address - Street 2:SUITE 101
Practice Address - City:FRESNO
Practice Address - State:CA
Practice Address - Zip Code:93711-2777
Practice Address - Country:US
Practice Address - Phone:559-431-0580
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-09
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA251V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251V00000XAgenciesVoluntary or Charitable