Provider Demographics
NPI:1811406697
Name:FRESNO INTERDENOMINATIONAL REFUGEE MINISTRIES
Entity type:Organization
Organization Name:FRESNO INTERDENOMINATIONAL REFUGEE MINISTRIES
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:ZACHARY
Authorized Official - Middle Name:
Authorized Official - Last Name:DARRAH
Authorized Official - Suffix:
Authorized Official - Credentials:MA
Authorized Official - Phone:559-487-1500
Mailing Address - Street 1:1940 N FRESNO ST
Mailing Address - Street 2:
Mailing Address - City:FRESNO
Mailing Address - State:CA
Mailing Address - Zip Code:93703-2231
Mailing Address - Country:US
Mailing Address - Phone:559-487-1500
Mailing Address - Fax:559-487-1550
Practice Address - Street 1:1940 N FRESNO ST
Practice Address - Street 2:
Practice Address - City:FRESNO
Practice Address - State:CA
Practice Address - Zip Code:93703-2231
Practice Address - Country:US
Practice Address - Phone:559-487-1500
Practice Address - Fax:559-487-1550
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-09-25
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA81056106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty