Provider Demographics
NPI:1356803605
Name:PEACE OFFICERS CHAPLAINCY OF FRESNO COUNTY
Entity type:Organization
Organization Name:PEACE OFFICERS CHAPLAINCY OF FRESNO COUNTY
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:K
Authorized Official - Last Name:LOWERY
Authorized Official - Suffix:
Authorized Official - Credentials:M DIV
Authorized Official - Phone:559-621-2120
Mailing Address - Street 1:905 N FULTON ST
Mailing Address - Street 2:
Mailing Address - City:FRESNO
Mailing Address - State:CA
Mailing Address - Zip Code:93728-3411
Mailing Address - Country:US
Mailing Address - Phone:559-621-2120
Mailing Address - Fax:559-457-1188
Practice Address - Street 1:905 N FULTON ST
Practice Address - Street 2:
Practice Address - City:FRESNO
Practice Address - State:CA
Practice Address - Zip Code:93728-3411
Practice Address - Country:US
Practice Address - Phone:559-621-2120
Practice Address - Fax:559-457-1188
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-04-04
Last Update Date:2019-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty