Provider Demographics
NPI:1558949818
Name:RESILIENCY CENTER OF FRESNO
Entity Type:Organization
Organization Name:RESILIENCY CENTER OF FRESNO
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:RODNEY
Authorized Official - Middle Name:
Authorized Official - Last Name:LOWERY
Authorized Official - Suffix:
Authorized Official - Credentials:MDIV
Authorized Official - Phone:559-621-2020
Mailing Address - Street 1:3845 N CLARK ST STE 201
Mailing Address - Street 2:
Mailing Address - City:FRESNO
Mailing Address - State:CA
Mailing Address - Zip Code:93726-4842
Mailing Address - Country:US
Mailing Address - Phone:559-621-2121
Mailing Address - Fax:559-457-1188
Practice Address - Street 1:3845 N CLARK ST STE 201
Practice Address - Street 2:
Practice Address - City:FRESNO
Practice Address - State:CA
Practice Address - Zip Code:93726-4842
Practice Address - Country:US
Practice Address - Phone:559-621-2121
Practice Address - Fax:559-457-1188
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:PEACE OFFICERS CHAPLAINCY OF FRESNO COUNTY
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2021-03-30
Last Update Date:2021-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty